Beth Sholom Home of Eastern Virginia

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2504 Issued in VA

Legal business name

BETH SHOLOM HOME OF EASTERN VIRGINIA

Practice address

6401 Auburn Dr
Virginia Beach, VA 23464-3601

Phone

(757) 420-2512

Fax

(757) 424-0657

NPI assigned

Dec 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David R Abraham, CEO

Title

Vice-President

Phone

(757) 420-2512

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1700863636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 AUBURN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643601",
            "telephone_number": "757-420-2512",
            "fax_number": "757-424-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 AUBURN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643601",
            "telephone_number": "757-420-2512",
            "fax_number": "757-424-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH SHOLOM HOME OF EASTERN VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "757-420-2512",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "215344",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4951867",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FOR DMERC",
            "identifier": "335333",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luciana Danielle Bester, M.D.
• Diane L. Bestercy, COTA
• Bestway Health Care, LLC
• Beth Abraham Village LLC (Maimonides Health Center of Virginia Beach)
• Beth Sholom Home of Eastern Virginia
• Bethany Christian Services
• April Nicole Bethea, COTA/L
• Tyasia Bethel
• Bethesda Chevy Chase Orthopaedic Associates, LLC (Jordan-Young Institute)
• Emily Lucetta Joan Bettendorf Riley

• Skilled Nursing Facility in Virginia Beach, VA
• Providers in Virginia Beach, 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 13, 2009; 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.