Medical Facilities of America Xlviii

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2698 Issued in VA

Legal business name

MEDICAL FACILITIES OF AMERICA XLVIII

Doing business as

Stanleytown Health & Rehabilitation Center

Practice address

240 Riverside Dr
Bassett, VA 24055-4257

Phone

(276) 629-1772

Fax

(276) 629-4271

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Claude Novel Martin III

Title

Cfo, Mfa, Inc. General Partner

Phone

(540) 776-7526

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stanleytown Health & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1558474296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 PENN FOREST BLVD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184374",
            "telephone_number": "540-989-3618",
            "fax_number": "540-774-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 RIVERSIDE DR",
            "city": "BASSETT",
            "state": "VA",
            "postal_code": "240554257",
            "telephone_number": "276-629-1772",
            "fax_number": "276-629-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FACILITIES OF AMERICA XLVIII",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "NOVEL",
        "authorized_official_title_or_position": "CFO, MFA, INC. GENERAL PARTNER",
        "authorized_official_telephone_number": "540-776-7526",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4952162",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanleytown Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamarrs Hands
• Dorthea Mornet Kirby, SF
• Martinsville Henry County Coalition for Health and Wellness (Bassett Family Practice)
• Felecia McBride
• Priscilla Monyette McKoy
• Cynthia Ramsey Moody
• David L. Morris, DDS
• Susan L. Morris, DDS
• Tamara Morrison, PHARM D.
• Kwamba Ekwa Nkembe, M.D.

• Skilled Nursing Facility in Bassett, VA
• Providers in Bassett, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.