Emporia Manor LLC
Organization Active NPI Nursing Facility/Intermediate Care Facility · Emporia, VA
NPI 1790767259 · NPPES record last updated Jul 15, 2016
Key facts
- NPI
- 1790767259
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- Legal business name
- EMPORIA MANOR LLC
- Practice address
- 200 Weaver Ave
Emporia, VA 23847-1230 - Phone
- (434) 634-6581
- Fax
- (434) 634-4069
- NPI assigned
- Nov 18, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Karl Keffer
- Title
- Administrator
- Phone
- (434) 634-6581
National Provider Directory
Locations
200 Weaver Ave
Emporia, VA 23847
Phone (434) 634-6581
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Yes |
Addresses
Primary practice location
200 Weaver Ave
Emporia, VA 23847-1230
Mailing address
200 Weaver Ave
Emporia, VA 23847-1230
Phone (434) 634-6581
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010051088 | Medicaid | VA |
Other providers in Emporia, VA
- Emporia Home Care Services LLC
- Emporia Hospital Corporation
- Emporia Hospital Corporation
- Emporia Hospital Corporation
- Emporia Hospital Corporation
- Emporia Medical Associates PC
- Emporia Nursing LLC
- Emporia Operating LLC
- Emporia Radiology LLC
- Emporia SNF Ops LLC
All providers in Emporia, VA · Nursing Facility/Intermediate Care Facility in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.