Grayson Facility Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GRAYSON FACILITY OPERATIONS, LLC

Doing business as

Grayson Rehabilitation and Health Care Center

Practice address

400 S. Independence Avenue
Independence, VA 24348-3857

Phone

(276) 773-0303

Fax

(276) 773-0404

NPI assigned

Jul 27, 2006

Last updated

Sep 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Lehner

Title

Manager

Phone

(770) 698-9040

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Grayson Rehabilitation and Health Care Center Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1750305033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 857",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243480857",
            "telephone_number": "276-773-0303",
            "fax_number": "276-773-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S. INDEPENDENCE AVENUE",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243483857",
            "telephone_number": "276-773-0303",
            "fax_number": "276-773-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON FACILITY OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "LEHNER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-698-9040"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750305033",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001495490",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "800 Concourse Pkwy S Ste 200",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grayson Rehabilitation and Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grayson Rehabilitation and Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DLP Twin County Physician Practices LLC (Twin County Family Care Center - Independence)
• Karl Alan Fauble, PTA
• Lisa Funk, LPTA
• Thomas M Gerni, MT-BC
• Grayson County Public Schools
• Grayson Highlands Family Medicine & Obstetrics
• Thomas Christopher Green
• Morgan L Greer, LCSW
• Kristine M Hanks, P. T.
• Emily Hash

• Skilled Nursing Facility in Independence, VA
• Providers in Independence, 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 Sep 13, 2024; 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.