Organization Active NPI

Snyder Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Salem, VA
National Provider Identifier
1225061583
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH2692 Issued in VA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4965914MedicaidVA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0877968Snyder Nursing Home Inc11 N Broad St, Salem, VA 24153Certificate of waiverOct 14, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.