SP Fishersville, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2699 Issued in VA

Legal business name

SP FISHERSVILLE, LLC

Doing business as

Augusta Nursing & Rehab Center

Practice address

35 Cross Road LN
Fishersville, VA 22939-2331

Phone

(540) 885-8424

Fax

(540) 885-8434

NPI assigned

Jun 10, 2006

Last updated

Aug 22, 2020By 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

Joseph Conte

Title

Chief Operating Officer

Phone

(407) 571-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Augusta Nursing & Rehab Center Doing business as

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649211376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CONCOURSE PKWY S",
            "address_2": "SUITE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516148",
            "telephone_number": "407-571-1550",
            "fax_number": "407-571-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CROSS ROAD LN",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392331",
            "telephone_number": "540-885-8424",
            "fax_number": "540-885-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP FISHERSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONTE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4953363",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anastasia Snelling, D.O.
• Russel G Snodgrass
• Shelley L Snodgrass, MD
• Talisa Snow, APRN
• Kari L Somers, CNM
• Sharon Barr Spalding, ACSM-CEP
• Ashley Nicholl Sparler, M.D.
• Timothy D Spencer, MD
• Margaret Byler Spory, PA-C
• John Morgan Sproul, PA

• Skilled Nursing Facility in Fishersville, VA
• Providers in Fishersville, 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 Aug 22, 2020; 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.