Active NPI
Laurel Meadows Life Care L C
- Skilled Nursing Facility
- Laurel Fork, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH2578
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C495323 | Other | VA | UNITED AMERICAN INS CO ID |
| 608690100 | Other | VA | FEDERAL BLACK LUNG ID |
| 4953231 | Medicaid | VA | |
| 227198 | Other | VA | ANTHEM BCBS PPO ID |
Other names 1
- Heritage Hall Laurel Meadows
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Meadows
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 1, 1997
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- Heritage Hall
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0715771 | Heritage Hall - Laurel Meadows | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Vanessa Sturgill Fant | Adp of the SNF | Jun 6, 2025 | |
| William B Hopkins | Corporate Director | Jul 28, 2010 | |
| Robert Cranwell | 5% Or Greater Direct Ownership Interest | Jul 10, 2020 | 23% |
| Cassandra Gallant | Corporate Officer | Jul 11, 2024 | |
| C. Richard Cranwell | Direct Ownership Interest | Oct 4, 2024 | 4.4% |
| Thomas East | Corporate Officer | Nov 20, 2012 | 100% |
| Corporate Director | Nov 20, 2012 | 50% | |
| Adp of the SNF | Apr 21, 2014 | ||
| WCC Third Blind Trust | 5% Or Greater Direct Ownership Interest | Jul 10, 2020 | 51% |
| American Healthcare LLC | Operational/Managerial Control | Apr 21, 2014 | |
| Adp of the SNF | May 13, 2025 | ||
| Robert Dalton | Corporate Officer | Apr 21, 2014 | |
| Operational/Managerial Control | Apr 21, 2014 | ||
| Adp of the SNF | Apr 21, 2014 | ||
| Ahc Acquisitions, LLC | 5% Or Greater Direct Ownership Interest | Jul 10, 2020 | 17% |
| Marc Nester | 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.
-
dba Heritage Hall - Blacksburg
- Skilled Nursing Facility
- Blacksburg, VA
- NPI 1265422646
American Healthcare LLC
-
dba Heritage Hall - Blackstone
- Skilled Nursing Facility
- Blackstone, VA
- NPI 1326038720
American Healthcare LLC
-
- Skilled Nursing Facility
- Brookneal, VA
- NPI 1295725455
Ahc Acquisitions, LLC, American Healthcare LLC, WCC Third Blind Trust
-
dba Heritage Hall - Clintwood
- Skilled Nursing Facility
- Clintwood, VA
- NPI 1447241351
American Healthcare LLC
-
dba Heritage Hall - Dillwyn
- Skilled Nursing Facility
- Dillwyn, VA
- NPI 1144211251
American Healthcare LLC
-
- Skilled Nursing Facility
- Front Royal, VA
- NPI 1821088493
Ahc Acquisitions, LLC, American Healthcare LLC, WCC Third Blind Trust
-
- Skilled Nursing Facility
- Grundy, VA
- NPI 1912997594
Ahc Acquisitions, LLC, American Healthcare LLC, WCC Third Blind Trust
-
dba Heritage Hall - King George
- Skilled Nursing Facility
- King George, VA
- NPI 1780675702
American Healthcare LLC
-
dba Heritage Hall - Leesburg
- Skilled Nursing Facility
- Leesburg, VA
- NPI 1578553970
American Healthcare LLC
-
- Skilled Nursing Facility
- Lexington, VA
- NPI 1881684330
Ahc Acquisitions, LLC, American Healthcare LLC, WCC Third Blind Trust
-
dba Heritage Hall - Rich Creek
- Skilled Nursing Facility
- Rich Creek, VA
- NPI 1780688747
American Healthcare LLC
-
dba South Roanoke Nursing Home
- Skilled Nursing Facility
- Roanoke, VA
- NPI 1093799439
American Healthcare LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.