Skyline Terrace Convalescent Home

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

SKYLINE TERRACE CONVALESCENT HOME

Practice address

123 Lakeview Road
Woodstock, VA 22664-0558

Phone

(540) 459-3738

Fax

(540) 459-8651

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Deanne Craft, LNHA

Title

Administrator

Phone

(540) 459-3738

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Skyline Terrace Nursing Home Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1467475830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558",
            "address_2": "123 LAKEVIEW ROAD",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226640558",
            "telephone_number": "540-459-3738",
            "fax_number": "540-459-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LAKEVIEW ROAD",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226640558",
            "telephone_number": "540-459-3738",
            "fax_number": "540-459-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE TERRACE CONVALESCENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "540-459-3738",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004965892",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyline Terrace Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skyline Terrace Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Facility/Intermediate Care Facility in Woodstock, VA
• Providers in Woodstock, VA by specialty
• Nursing Facility/Intermediate Care Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.