ASC of Lebanon, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ASC OF LEBANON, LLC

Practice address

318 E Main St
Lebanon, VA 24266-4614

Phone

(276) 889-0733

NPI assigned

Dec 10, 2025

Organization subpart

Yes

Parent organization

LHM MAN HHH LLCAs reported in NPPES

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

Authorized official

Name

Jess Dalton

Title

President

Phone

(480) 277-3041

Specialties & licenses 1

Addresses

Other names 1

• MAPLE GROVE NURSING & REHAB Doing business as

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1740144229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 E MAIN ST",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E MAIN ST",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664614",
            "telephone_number": "276-889-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASC OF LEBANON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LHM MAN HHH LLC",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JESS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-277-3041"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAPLE GROVE NURSING & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Lebanon, VA
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.