Organization Active NPI

Medical Facilities of America Xli

  • Skilled Nursing Facility
  • Norfolk, VA
National Provider Identifier
1164535373
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2640 Issued in VA
Legal business name
MEDICAL FACILITIES OF AMERICA XLI
Practice address
901 E Princess Anne Rd
Norfolk, VA 23504-2732
Phone
(757) 626-1642
Fax
(757) 626-1971
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Mr. Claude Novel Martin III
Title
Cfo, Mfa, Inc. General Partner
Phone
(540) 776-7526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH2640 VA Primary

Addresses

Primary practice location

901 E Princess Anne Rd
Norfolk, VA 23504-2732

Mailing address

2917 Penn Forest Blvd
Roanoke, VA 24018-4374
Phone (540) 989-3618

Other identifiers 1

IdentifierTypeStateIssuer
4952103MedicaidVA

Other names 1

  • Norfolk Health & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1164535373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 PENN FOREST BLVD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184374",
            "telephone_number": "540-989-3618",
            "fax_number": "540-774-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E PRINCESS ANNE RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042732",
            "telephone_number": "757-626-1642",
            "fax_number": "757-626-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FACILITIES OF AMERICA XLI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "NOVEL",
        "authorized_official_title_or_position": "CFO, MFA, INC. GENERAL PARTNER",
        "authorized_official_telephone_number": "540-776-7526",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4952103",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norfolk Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.