Heritage Hall - Tazewell
LBN: Tazewell Life Care, Llc
Heritage Hall - Tazewell is an health care organization with primary practice located at 282 Ben Bolt Ave , Tazewell VA 24651. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Tazewell Life Care, Llc can be contacted via phone (276) 988-2515, or through Haines, James L via phone (540) 774-4263.
Contact Information
Primary practice address
282 Ben Bolt Ave
Tazewell VA 24651
Phone: (276) 988-2515
Fax: (276) 988-5468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | NH2581 | Virginia |
Profile Details
| NPI number | 1538159926 |
|---|---|
| LBN Legal business name | Tazewell Life Care, Llc |
| DBA Doing business as | Heritage Hall - Tazewell |
| Authorized official | Haines, James L JD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jul 6th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538159926 | NPPES |
| Virginia | Other | 180511 | ANTHEM BCBS PROVIDER ID |
| Virginia | MEDICAID | 4951522 | ANTHEM BCBS PROVIDER ID |
| Virginia | Other | 200515601 | ANTHEM BCBS PROVIDER ID |
| Virginia | Other | 418359 | ANTHEM BCBS PROVIDER ID |
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