Ridgecrest Manor Nursing And Rehabilitation Center

LBN: Videll Healthcare Duffield Llc
Ridgecrest Manor Nursing And Rehabilitation Center is an health care organization with primary practice located at 157 Ross Carter Blvd , Duffield VA 24244-5116. 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. Videll Healthcare Duffield Llc can be contacted via phone (276) 431-2841, or through Mace, Kathleen D via phone (253) 277-3197.

Contact Information

Primary practice address
157 Ross Carter Blvd Duffield VA 24244-5116
Fax: (276) 431-2345
Website:
Authorized official contact:
Name: Mace, Kathleen D RN DCS

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH2664 Virginia

Profile Details

NPI number 1396768644
LBN Legal business name Videll Healthcare Duffield Llc
DBA Doing business as Ridgecrest Manor Nursing And Rehabilitation Center
Authorized official Mace, Kathleen D RN DCS
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2006
Last updated Nov 15th, 2012 - about 13 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 1396768644 NPPES
Virginia MEDICAID 4951344
Virginia MEDICAID 4960386

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