Organization Active NPI

Laurel Meadows Life Care L C

  • Skilled Nursing Facility
  • Laurel Fork, VA
National Provider Identifier
1740270297
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2578 Issued in VA
Legal business name
LAUREL MEADOWS LIFE CARE L C
Practice address
16600 Danville Pike
Laurel Fork, VA 24352-3804
Phone
(276) 398-2117
Fax
(276) 398-3122
NPI assigned
Oct 26, 2005
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH2578 VA Primary

Addresses

Primary practice location

16600 Danville Pike
Laurel Fork, VA 24352-3804

Mailing address

3131 Electric Rd Ste 100
Roanoke, VA 24018-6427
Phone (540) 774-4263

Other identifiers 4

IdentifierTypeStateIssuer
C495323OtherVAUNITED AMERICAN INS CO ID
608690100OtherVAFEDERAL BLACK LUNG ID
4953231MedicaidVA
227198OtherVAANTHEM BCBS PPO ID

Other names 1

  • Heritage Hall Laurel Meadows Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060203000466 VA Part A Provider - Skilled Nursing Facility 7911928676 Practice locations: Laurel Fork, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740270297. Details of each certification follow.

Skilled nursing facility certification: CCN 495323

Legal name
LAUREL MEADOWS LIFE CARE L C
Doing business as
LAUREL MEADOWS LIFE CARE, LC D/B/A HERITAGE HALL LAUREL MEADOWS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1997
Last certification
Dec 21, 2023
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
American Healthcae LLC
Organization structure
LLCProprietary
Incorporated
Jul 1, 1998 in VA
Enrollment address
16600 Danville Pike
Laurel Fork, VA 24352-3804
Nursing home name
HERITAGE HALL - LAUREL MEADOWS
Affiliated entity
HERITAGE HALL

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heritage Hall - Laurel MeadowsCCN 495323 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6055.5 residents per day on average
Chain
Heritage Hall15 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0715771Heritage Hall - Laurel Meadows16600 Danville Pike, Laurel Fork, VA 24352Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Vanessa Sturgill Fant Individual Adp of the SNF Jun 6, 2025
William B Hopkins Individual Corporate Director Jul 28, 2010
Robert Cranwell Individual 5% Or Greater Direct Ownership Interest Jul 10, 2020 23%
Cassandra Gallant Individual Corporate Officer Jul 11, 2024
C. Richard Cranwell Individual Direct Ownership Interest Oct 4, 2024 4.4%
Thomas East Individual Corporate OfficerPresident & Ceo Nov 20, 2012 100%
Corporate DirectorPresident & Ceo Nov 20, 2012 50%
Adp of the SNF Apr 21, 2014
WCC Third Blind Trust Organization, Roanoke, VA 5% Or Greater Direct Ownership Interest Jul 10, 2020 51%
American Healthcare LLC Organization, Roanoke, VA LLC Operational/Managerial Control Apr 21, 2014
Adp of the SNF May 13, 2025
Robert Dalton Individual Corporate Officer Apr 21, 2014
Operational/Managerial Control Apr 21, 2014
Adp of the SNF Apr 21, 2014
Ahc Acquisitions, LLC Organization, Roanoke, VA LLC 5% Or Greater Direct Ownership Interest Jul 10, 2020 17%
Marc Nester Individual Operational/Managerial Control Jun 6, 2025
Adp of the SNF Jun 6, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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": "1740270297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELECTRIC RD STE 100",
            "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": "16600 DANVILLE PIKE",
            "city": "LAUREL FORK",
            "state": "VA",
            "postal_code": "243523804",
            "telephone_number": "276-398-2117",
            "fax_number": "276-398-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL MEADOWS LIFE CARE L C",
        "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": "NH2578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED AMERICAN INS CO ID",
            "identifier": "C495323",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG ID",
            "identifier": "608690100",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4953231",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PPO ID",
            "identifier": "227198",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Hall Laurel Meadows",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Heritage Hall Laurel Meadows",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laurel Fork, VA

Sources for this page

Verify at the official NPI Registry.