Active NPI
Snyder Nursing Home
- Nursing Facility/Intermediate Care Facility
- Salem, VA
National Provider Identifier
1225061583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- NH2692
- Legal business name
- SNYDER NURSING HOME
- Practice address
- 11 N Broad St
Salem, VA 24153-3735 - Phone
- (540) 389-6305
- Fax
- (540) 389-5376
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Keith A Denson, NHA
- Title
- Administrator
- Phone
- (540) 389-6305
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NH2692 | VA | Primary |
Addresses
Primary practice location
11 N Broad St
Salem, VA 24153-3735
Mailing address
11 N Broad St
Salem, VA 24153-3735
Phone (540) 389-6305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4965914 | Medicaid | VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0877968 | Snyder Nursing Home Inc | Certificate of waiver | Oct 14, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1225061583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 N BROAD ST",
"city": "SALEM",
"state": "VA",
"postal_code": "241533735",
"telephone_number": "540-389-6305",
"fax_number": "540-389-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 N BROAD ST",
"city": "SALEM",
"state": "VA",
"postal_code": "241533735",
"telephone_number": "540-389-6305",
"fax_number": "540-389-5376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNYDER NURSING HOME",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DENSON",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "540-389-6305",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "VA",
"license": "NH2692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4965914",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.