NPIMap

Organization Active NPI

Virginia Beach Life Care Corp

  • Skilled Nursing Facility
  • Virginia Beach, VA
National Provider Identifier
1437149960
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2582 Issued in VA
Legal business name
VIRGINIA BEACH LIFE CARE CORP
Practice address
5580 Daniel Smith Rd
Virginia Beach, VA 23462-1104
Phone
(757) 499-7029
Fax
(757) 499-1266
NPI assigned
Oct 26, 2005
Last updated
Apr 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
James Haines
Title
Cco and General Counsel
Phone
(540) 774-4263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH2582 VA Primary

Addresses

Primary practice location

5580 Daniel Smith Rd
Virginia Beach, VA 23462-1104

Mailing address

3131 Electric Rd Ste 100
Roanoke, VA 24018-6427
Phone (540) 774-4263

Other identifiers 3

IdentifierTypeStateIssuer
608693000OtherVAFEDERAL BLACK LUNG ID
4952341MedicaidVA
227271OtherVAANTHEM BCBS PPO HMO ID

Other names 1

  • Heritage Hall Virginia Beach Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1437149960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELECTRIC RD STE 100",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186427",
            "telephone_number": "540-774-4263",
            "fax_number": "540-774-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 DANIEL SMITH RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621104",
            "telephone_number": "757-499-7029",
            "fax_number": "757-499-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA BEACH LIFE CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CCO AND GENERAL COUNSEL",
        "authorized_official_telephone_number": "540-774-4263"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG ID",
            "identifier": "608693000",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4952341",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PPO HMO ID",
            "identifier": "227271",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Hall Virginia Beach",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Heritage Hall Virginia Beach",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.