Clarksville Senior Care, LLC
Organization Active NPI Skilled Nursing Facility · Clarksville, VA
NPI 1619974029 · NPPES record last updated Feb 2, 2015
Key facts
- NPI
- 1619974029
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH2745 (VA)
- Legal business name
- CLARKSVILLE SENIOR CARE, LLC
- Practice address
- 184 Buffalo Rd
Clarksville, VA 23927 - Phone
- (434) 374-4141
- Fax
- (434) 374-4491
- NPI assigned
- Jun 30, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Stewart R. Nelson
- Title
- Chief Financial Officer
- Phone
- (434) 517-3183
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH2745 | VA | Yes |
Addresses
Primary practice location
184 Buffalo Rd
Clarksville, VA 23927
Mailing address
PO Box 649
South Boston, VA 24592-0649
Phone (434) 517-3194
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4960793 | Medicaid | VA |
Other names
- Sentara MeadowView Terrace
Other providers in Clarksville, VA
- Clarksville Chiropractic Center PC
- Clarksville Community Pharmacy, Inc.
- Clarksville Counseling Center, PLC
- Clarksville Health & Rehab Center, LLC
- Clarksville Senior Care, LLC
- Allyson Michelle Collins
- Brianna Collins
- Ashley Combs
- Community Memorial Healthcenter
- Rosemary Cosselmon
All providers in Clarksville, VA · Skilled Nursing Facility in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.