Cplace Bristol SNF, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CPLACE BRISTOL SNF, LLC

Doing business as

Memory Care At Bristol
The Rehab Center at Bristol

Practice address

109 Village Circle
Bristol, VA 24201

Phone

(727) 239-4462

NPI assigned

Aug 6, 2018

Last updated

Aug 6, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Virginia L Hines, ESQ.

Title

Associate General Counsel

Phone

(337) 349-5061

Specialties & licenses 3

Addresses

Other names 2

• Memory Care At Bristol Doing business as
• The Rehab Center at Bristol Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1003394693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24641 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337635007",
            "telephone_number": "337-349-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 VILLAGE CIRCLE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "24201",
            "telephone_number": "727-239-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPLACE BRISTOL SNF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSOCIATE GENERAL COUNSEL",
        "authorized_official_telephone_number": "337-349-5061",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memory Care At Bristol",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Rehab Center at Bristol",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Rehab Center at Bristol",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Melissa Gent Cox, LCSW
• Brent R Coyle, M.D.
• Joseph Mark Crum, DC, CCRD, CCSP
• Megan Cunningham, LPN
• D&D Transit LLC
• Tara Dalton, PHARM.D.
• Christopher Mark Davenport

• Skilled Nursing Facility in Bristol, VA
• Providers in Bristol, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.