Organization Active NPI

Shenandoah House at AMC

  • Assisted Living Facility
  • Fishersville, VA
National Provider Identifier
1851559876
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1104076 Issued in VA
Legal business name
SHENANDOAH HOUSE AT AMC
Practice address
111 North Campus Lane
Fishersville, VA 22939
Phone
(540) 245-7320
Fax
(540) 245-7328
NPI assigned
May 27, 2008
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
AHC COMMUNITY HEALTH FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Mr. David E Deering
Title
Coo
Phone
(540) 932-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1104076 VA Primary

Addresses

Primary practice location

111 North Campus Lane
Fishersville, VA 22939

Mailing address

111 North Campus Lane
Fishersville, VA 22939
Phone (540) 245-7320

National Provider Directory

National Provider Directory
Part of
Shenandoah House at AMC

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1851559876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NORTH CAMPUS LANE",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "22939",
            "telephone_number": "540-245-7320",
            "fax_number": "540-245-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORTH CAMPUS LANE",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "22939",
            "telephone_number": "540-245-7320",
            "fax_number": "540-245-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH HOUSE AT AMC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHC COMMUNITY HEALTH FOUNDATION",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "DEERING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "540-932-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "1104076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.