Halifax Regional Long Term Care, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2736 Issued in VA

Legal business name

HALIFAX REGIONAL LONG TERM CARE, INC

Practice address

103 Rosehill Dr
South Boston, VA 24592-4843

Phone

(434) 572-4906

Fax

(434) 572-5223

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Stewart R. Nelson

Title

Chief Financial Officer

Phone

(434) 517-3183

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sentara Woodview Doing business as

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1528065026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245920566",
            "telephone_number": "434-517-3194",
            "fax_number": "434-517-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ROSEHILL DR",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245924843",
            "telephone_number": "434-572-4906",
            "fax_number": "434-572-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIFAX REGIONAL LONG TERM CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "434-517-3183",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4953223",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Woodview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Halifax Regional Long Term Care, Inc
• Halifax Urgent Care
• Halifaxmed, PLC
• Julie Hall
• Nicholas Robert Hall, PA

• All providers in South Boston, VA
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.