Warsaw SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WARSAW SNF OPERATIONS LLC

Practice address

20 Delfae Dr
Warsaw, VA 22572-4281

Phone

(804) 313-2400

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Shimon Idels, LNHA

Title

Chief Operations Officer

Phone

(516) 855-5504

Specialties & licenses 1

Addresses

Other names 1

• Northern Neck Senior Care Community Doing business as

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1093318487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 RAILROAD AVE",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572316",
            "telephone_number": "516-855-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DELFAE DR",
            "city": "WARSAW",
            "state": "VA",
            "postal_code": "225724281",
            "telephone_number": "804-313-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARSAW SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "IDELS",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "516-855-5504",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Neck Senior Care Community",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northern Neck Senior Care Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Levernia Veney
• Walgreen Co
• Warsaw Family Dentistry Inc.
• Warsaw Recovery Center
• Warsaw Smile Dental Inc.
• Wellness Place, LLC
• Tina R Welsh, L.P.N.
• Stephanie Hope White, LPC
• Teresa G Williams, NP

• Skilled Nursing Facility in Warsaw, VA
• Providers in Warsaw, 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 Feb 22, 2021; 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.