Big Stone Gap Life Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2568 Issued in VA

Legal business name

BIG STONE GAP LIFE CARE, LLC

Doing business as

Heritage Hall - Big Stone Gap

Practice address

2045 Valley View Dr E
Big Stone Gap, VA 24219

Phone

(276) 523-3000

Fax

(276) 523-0531

NPI assigned

Oct 26, 2005

Last updated

Nov 25, 2024By 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

Cassandra Gallant

Title

Compliance & Privacy Officer

Phone

(540) 774-4263

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Heritage Hall - Big Stone Gap Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679563068. Details of each certification follow.

• CCN 495135 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 495135

Legal name

BIG STONE GAP LIFE CARE LLC

Doing business as

HERITAGE HALL- BIG STONE GAP

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 10, 1983

Last certification

Feb 1, 2023

Beds

180

Ownership / control type

Corporation

Multi-facility organization

American Healthcare

Organization structure

LLCProprietary

Incorporated

in VA

Enrollment address

2045 Valley View Dr
Big Stone Gap, VA 24219-3319

Nursing home name

HERITAGE HALL BIG STONE GAP

Affiliated entity

HERITAGE HALL

Listed as

Heritage Hall Big Stone GapCCN 495135 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Feb 10, 1983

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

180165.5 residents per day on average

Chain

Heritage Hall15 facilities in the chain

Penalties (3 years)

1Fines totaling $40,517

Processed by Care Compare on Aug 1, 2026.

Tax ID family

American Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Big Stone Gap Life Care, LLC

  dba Heritage Hall - Big Stone Gap

  • Skilled Nursing Facility
  • Big Stone Gap, VA
  • NPI 1518459593
  NPD tax ID

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Donald Robert Quinn, MD

  • Internal Medicine Physician
  • Bristol, TN
  • NPI 1447219688

  Adp of the SNF

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Nauras Hwig, MD

  • Sleep Medicine (Family Medicine) Physician
  • Waldorf, MD
  • NPI 1396237582

  Nursing home

  Care Compare affiliation
• Donald Robert Quinn, MD

  • Internal Medicine Physician
  • Bristol, TN
  • NPI 1447219688

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1679563068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186427",
            "telephone_number": "540-774-4263",
            "fax_number": "540-774-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 VALLEY VIEW DR E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "24219",
            "telephone_number": "276-523-3000",
            "fax_number": "276-523-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG STONE GAP LIFE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "GALLANT",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "COMPLIANCE & PRIVACY OFFICER",
        "authorized_official_telephone_number": "540-774-4263"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER ID",
            "identifier": "180506",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4951352",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG ID",
            "identifier": "200515602",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Hall - Big Stone Gap",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer A Beverly, RN C
• Teresa Beverly, LPN
• Rebecca Bevins, PT, DPT
• Big Stone Economy Drug Inc
• Big Stone Gap Life Care, LLC (Heritage Hall - Big Stone Gap)
• Big Stone Gap Rescue Squad, Inc.
• Patty Biles, CRNA
• Christopher Eugene Bishop, DO
• Doris Jean Bishop
• Daphne Dawn Blanton, M.ED

• Skilled Nursing Facility in Big Stone Gap, VA
• Providers in Big Stone Gap, 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 Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.