Organization Active NPI

Orange County Nursing Home

  • Skilled Nursing Facility
  • Orange, VA
National Provider Identifier
1699774067
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2647 Issued in VA
Legal business name
ORANGE COUNTY NURSING HOME
Practice address
120 Dogwood LN
Orange, VA 22960-1058
Phone
(540) 672-2611
Fax
(540) 672-3187
NPI assigned
Jul 19, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Vernon M Baker
Title
Administrator
Phone
(540) 672-2611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH2647 VA Primary

Addresses

Primary practice location

120 Dogwood LN
Orange, VA 22960-1058

Mailing address

120 Dogwood LN
Orange, VA 22960-1058
Phone (540) 672-2611

Other identifiers 1

IdentifierTypeStateIssuer
384875OtherVABCBS MEDIGAP PROVIDER NO

National Provider Directory

National Provider Directory
Tax ID family
Orange County Nursing Home2 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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699774067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DOGWOOD LN",
            "city": "ORANGE",
            "state": "VA",
            "postal_code": "229601058",
            "telephone_number": "540-672-2611",
            "fax_number": "540-672-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DOGWOOD LN",
            "city": "ORANGE",
            "state": "VA",
            "postal_code": "229601058",
            "telephone_number": "540-672-2611",
            "fax_number": "540-672-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "540-672-2611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MEDIGAP PROVIDER NO",
            "identifier": "384875",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, VA

Sources for this page

  • 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.