Grandview Residence

LBN: Valley Community Services Board
Grandview Residence is an health care organization with primary practice located at 1206 Red Top Orchard Rd , Waynesboro VA 22980-7437. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty. Valley Community Services Board can be contacted via phone (540) 887-3200, or through Fitzgerald, Dana L via phone (540) 213-7380.

Contact Information

Primary practice address
1206 Red Top Orchard Rd Waynesboro VA 22980-7437
Phone: (540) 887-3200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fitzgerald, Dana L
Phone: (540) 213-7380

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 10501001 Virginia

Profile Details

NPI number 1215080577
LBN Legal business name Valley Community Services Board
DBA Doing business as Grandview Residence
Authorized official Fitzgerald, Dana L
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Jun 10th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215080577 NPPES
Virginia MEDICAID 010099790

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