Ruxton Health of Williamsburg, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2728 Issued in VA

Legal business name

RUXTON HEALTH OF WILLIAMSBURG, LLC

Practice address

1235 S Mount Vernon Ave
Williamsburg, VA 23185-2835

Phone

(757) 229-4121

Fax

(757) 229-6625

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Eamonn Dennis Reilly

Title

Ceo

Phone

(410) 715-8900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689698011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 S MOUNT VERNON AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852835",
            "telephone_number": "757-229-4121",
            "fax_number": "757-229-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 S MOUNT VERNON AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852835",
            "telephone_number": "757-229-4121",
            "fax_number": "757-229-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUXTON HEALTH OF WILLIAMSBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "EAMONN",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-715-8900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4952359",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricky Jason Rubin, D.M.D.
• Ashley McMath Ruggerio
• Katerina Russek, AU.D.
• Jill L Russett, LPC
• Lori B Rutledge, NP
• Jamie Leigh Rygielski, D.O
• Sacred Joy, LLC
• Jennifer Lynne Sadler, MEDICAL MASSAGE
• Adam M Sadouk
• Safe Move Transportation LLC

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