NPIMap

Organization Active NPI

Smil Mountain Lake Retirement Village

  • Assisted Living Facility
  • Hardy, VA
National Provider Identifier
1154574820
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
RO-08-300 Issued in VA
Legal business name
SMIL MOUNTAIN LAKE RETIREMENT VILLAGE
Practice address
115 Retirement Dr
Hardy, VA 24101
Phone
(540) 719-2900
NPI assigned
Oct 28, 2008
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Mr. Brian Runk
Title
Ceo
Phone
(434) 237-2268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X RO-08-300 VA Primary

Addresses

Primary practice location

115 Retirement Dr
Hardy, VA 24101

Mailing address

115 Retirement Dr
Hardy, VA 24101
Phone (540) 719-2900

National Provider Directory

National Provider Directory
Tax ID family
Runk and Pratt Adult Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1154574820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 RETIREMENT DR",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "24101",
            "telephone_number": "540-719-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 RETIREMENT DR",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "24101",
            "telephone_number": "540-719-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMIL MOUNTAIN LAKE RETIREMENT VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "RUNK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "434-237-2268",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "RO-08-300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardy, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.