Organization Active NPI

Ruxton Health of Winchester, LLC

  • Skilled Nursing Facility
  • Winchester, VA
National Provider Identifier
1386697217
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RUXTON HEALTH OF WINCHESTER, LLC
Practice address
110 Lauck Dr
Winchester, VA 22603-4282
Phone
(540) 667-7830
Fax
(540) 667-2941
NPI assigned
May 19, 2006
Organization subpart
Yes
Parent organization
RUXTON HEALTH CARE I, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Mr. Eamonn Dennis Reilly
Title
Chief Executive Officer
Phone
(410) 715-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

110 Lauck Dr
Winchester, VA 22603-4282

Mailing address

10420 Little Patuxent Pkwy
Suite 210
Columbia, MD 21044-3533
Phone (410) 715-8900

Other identifiers 1

IdentifierTypeStateIssuer
49653070MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1386697217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 210",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443533",
            "telephone_number": "410-715-8900",
            "fax_number": "410-715-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LAUCK DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226034282",
            "telephone_number": "540-667-7830",
            "fax_number": "540-667-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUXTON HEALTH OF WINCHESTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUXTON HEALTH CARE I, LLC",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "EAMONN",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "410-715-8900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49653070",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.