NPIMap

Organization Active NPI

Beth Sholom Home of Eastern Virginia

  • Skilled Nursing Facility
  • Virginia Beach, VA
National Provider Identifier
1487963823
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2306602919 Issued in VA
Legal business name
BETH SHOLOM HOME OF EASTERN VIRGINIA
Practice address
6401 Auburn Dr
Virginia Beach, VA 23464-3601
Phone
(757) 420-1485
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Mrs. Nina Mungo, MPT
Title
Director of Therapy Services
Phone
(757) 420-1485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2306602919 VA Primary

Addresses

Primary practice location

6401 Auburn Dr
Virginia Beach, VA 23464-3601

Mailing address

6401 Auburn Dr
Virginia Beach, VA 23464-3601
Phone (757) 420-1485

National Provider Directory

National Provider Directory
Tax ID family
Legacy61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1487963823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 AUBURN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643601",
            "telephone_number": "757-420-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 AUBURN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643601",
            "telephone_number": "757-420-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH SHOLOM HOME OF EASTERN VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "MUNGO",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "DIRECTOR OF THERAPY SERVICES",
        "authorized_official_telephone_number": "757-420-1485",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "2306602919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 4, 2010; 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.