Clarksville Senior Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2745 Issued in VA

Legal business name

CLARKSVILLE SENIOR CARE, LLC

Doing business as

Sentara MeadowView Terrace

Practice address

184 Buffalo Rd
Clarksville, VA 23927

Phone

(434) 374-4141

Fax

(434) 374-4491

NPI assigned

Jun 30, 2005

Last updated

Feb 2, 2015By 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. Stewart R. Nelson

Title

Chief Financial Officer

Phone

(434) 517-3183

Specialties & licenses 1

Addresses

Other names 1

• Sentara MeadowView Terrace 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": "1619974029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245920649",
            "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": "184 BUFFALO RD",
            "city": "CLARKSVILLE",
            "state": "VA",
            "postal_code": "23927",
            "telephone_number": "434-374-4141",
            "fax_number": "434-374-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE SENIOR CARE, LLC",
        "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": "NH2745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara MeadowView Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clarksville Senior Care, LLC (MeadowView Terrace)
• Allyson Michelle Collins, MS, LPC
• Brianna Collins
• Ashley Combs
• Community Memorial Healthcenter (Clarksville Primary Care Center)
• Rosemary Cosselmon, LPC

• Skilled Nursing Facility in Clarksville, VA
• Providers in Clarksville, 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 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.