Active NPI
Ruxton Health of Winchester, LLC
- Skilled Nursing Facility
- Winchester, VA
National Provider Identifier
1386697217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49653070 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI 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.