The Laurels of Charlottesville, LLC

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

NH2754 Issued in VA

Legal business name

THE LAURELS OF CHARLOTTESVILLE, LLC

Doing business as

The Laurels of Charlottesville

Practice address

1165 Pepsi PL
Charlottesville, VA 22901-2866

Phone

(434) 951-4200

Fax

(434) 951-4201

NPI assigned

Oct 25, 2006

Last updated

Oct 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Patton

Title

Cfo

Phone

(614) 794-8800

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• THE LAURELS OF CHARLOTTESVILLE Doing business as

Tax ID family

The Laurels of Charlottesville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Laurels of Charlottesville, LLC

  dba The Laurels of Charlottesville

  • Skilled Nursing Facility
  • Charlottesville, VA
  • NPI 1578519500
  NPD tax ID

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1447335179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 PEPSI PL",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012866",
            "telephone_number": "434-951-4200",
            "fax_number": "434-951-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 PEPSI PL",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012866",
            "telephone_number": "434-951-4200",
            "fax_number": "434-951-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAURELS OF CHARLOTTESVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-794-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "VA",
            "license": "NH2754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE ID #",
            "identifier": "7105596",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS #",
            "identifier": "147664",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH LICENSE #",
            "identifier": "NH2754",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LAURELS OF CHARLOTTESVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Body Balancing Center PC
• The Bridge Line
• The Charleston Center, Inc (Albemarle Therapy Center)
• The Downtown Counseling Center
• The Epiphany Center
• The Laurels of Charlottesville, LLC (The Laurels of Charlottesville)
• The Lily Center, LCC
• The Metta Group
• The New Y-Capp Inc
• The New Y-Capp Inc.

• Parenteral & Enteral Nutrition Supplies (DME) in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.