Courtland VA Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COURTLAND VA OPCO LLC

Practice address

23020 Main St
Courtland, VA 23837-1133

Phone

(757) 653-0908

NPI assigned

Mar 12, 2020

Organization subpart

No

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

Authorized official

Name

Batya Gorelick

Title

VP of Admin Services

Phone

(757) 653-0908

Specialties & licenses 2

Addresses

Other names 1

• Accordius Health at Courtland Doing business as

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1497380299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SYLVAN AVE STE 240",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23020 MAIN ST",
            "city": "COURTLAND",
            "state": "VA",
            "postal_code": "238371133",
            "telephone_number": "757-653-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTLAND VA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "GORELICK",
        "authorized_official_first_name": "BATYA",
        "authorized_official_title_or_position": "VP OF ADMIN SERVICES",
        "authorized_official_telephone_number": "757-653-0908"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accordius Health at Courtland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tenecia Renee Brown-Shearin
• Children'S Therapy Concepts LLC
• Commonwealth of Virginia State Board of Health
• Courtland Hearing AIDS and Balance, LLC
• Courtland Operating LLC
• Joshua Alexander Diggins, ATC
• Savannah Francis
• Monique Tamara Goodman, CCC-SLP
• Andrea Hall-Leonard, MA
• Takeda Hinton

• All providers in Courtland, VA
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.