Medical Facilities of America Lxxvi 76 Limited Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2572 Issued in VA

Legal business name

MEDICAL FACILITIES OF AMERICA LXXVI 76 LIMITED PARTNERSHIP

Practice address

505 West Rio Rd
Charlottesville, VA 22901-1411

Phone

(434) 978-7015

NPI assigned

Jan 7, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Claude Novel Martin III

Title

Cfo, Mfa, Inc. General Partner

Phone

(540) 776-7526

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1457597874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 PENN FOREST BLVD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184374",
            "telephone_number": "540-989-3618",
            "fax_number": "540-774-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WEST RIO RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011411",
            "telephone_number": "434-978-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FACILITIES OF AMERICA LXXVI 76 LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "NOVEL",
        "authorized_official_title_or_position": "CFO, MFA, INC. GENERAL PARTNER",
        "authorized_official_telephone_number": "540-776-7526",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004951786",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.