Masonic Home of Virginia

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH2628 Issued in VA

Legal business name

MASONIC HOME OF VIRGINIA

Practice address

4101 Nine Mile Rd
Richmond, VA 23223-4956

Phone

(804) 222-1694

Fax

(804) 226-4567

NPI assigned

Aug 26, 2010

Last updated

Aug 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James D Cole

Title

Ceo

Phone

(804) 222-1694

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1558677658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 NINE MILE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232234956",
            "telephone_number": "804-222-1694",
            "fax_number": "804-226-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NINE MILE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232234956",
            "telephone_number": "804-222-1694",
            "fax_number": "804-226-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASONIC HOME OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-222-1694",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "VA",
            "license": "NH2628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Mason
• Semon Mason
• Stacie H Mason
• Tanee D Mason
• Taylor Mason
• Ali K Masood, MD
• Karim Richard Masri, M.D.
• Kelli Massey-Makhoul, FNP-BC
• Gita V. Massey, M.D.
• Hugh D Massey, M.D.

• Nursing Facility/Intermediate Care Facility in Richmond, VA
• Providers in Richmond, VA by specialty
• Nursing Facility/Intermediate Care Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.