Organization Active NPI

Beth Sholom Home of Virginia

  • Skilled Nursing Facility
  • Richmond, VA
National Provider Identifier
1548292170
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2503 Issued in VA
Legal business name
BETH SHOLOM HOME OF VIRGINIA
Practice address
1600 John Rolfe Pkwy
Richmond, VA 23238-8110
Phone
(804) 750-2183
Fax
(804) 750-1078
NPI assigned
Jul 6, 2006
Last updated
May 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Mr. John Vincent Bellotti Jr.
Title
Cfo
Phone
(804) 421-5352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH2503 VA Primary

Addresses

Primary practice location

1600 John Rolfe Pkwy
Richmond, VA 23238-8110

Mailing address

PO Box 29331
Richmond, VA 23242-0331
Phone (804) 750-2183

Other identifiers 2

IdentifierTypeStateIssuer
216278OtherVAANTHEM PROVIDER #
004952910MedicaidVA

Other names 1

  • Beth Sholom Home Other name

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1548292170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29331",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232420331",
            "telephone_number": "804-750-2183",
            "fax_number": "804-750-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 JOHN ROLFE PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232388110",
            "telephone_number": "804-750-2183",
            "fax_number": "804-750-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH SHOLOM HOME OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "BELLOTTI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "804-421-5352",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER #",
            "identifier": "216278",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004952910",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beth Sholom Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.