Medical Facilities of America L

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2719 Issued in VA

Legal business name

MEDICAL FACILITIES OF AMERICA L

Doing business as

Waverly Health & Rehabilitation Center

Practice address

456 East Main Street
Waverly, VA 23890-3237

Phone

(804) 834-3975

Fax

(804) 834-8363

NPI assigned

Aug 16, 2006

Last updated

May 25, 2010By 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

Mr. Claude Novel Martin III

Title

Cfo, Mfa, Inc. General Partner

Phone

(540) 776-7526

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Waverly Health & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1871606590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 PENN FOREST BLVD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184374",
            "telephone_number": "540-989-3618",
            "fax_number": "540-774-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 EAST MAIN STREET",
            "city": "WAVERLY",
            "state": "VA",
            "postal_code": "238903237",
            "telephone_number": "804-834-3975",
            "fax_number": "804-834-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FACILITIES OF AMERICA L",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "NOVEL",
        "authorized_official_title_or_position": "CFO, MFA, INC. GENERAL PARTNER",
        "authorized_official_telephone_number": "540-776-7526",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4951859",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waverly Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Jones
• Sarah Koren, PHARM D
• Aaron David Lohnes, RPH.
• Shawn Danielle Manning
• Kenneth William McGee, D.D.S.
• Talmage Thomas Musgrove III, RPH
• New Beginning Inc
• On Time Care Transport LLC
• Providing Ease Residential Services
• Rachel A Shabazz

• Skilled Nursing Facility in Waverly, VA
• Providers in Waverly, 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 May 25, 2010; 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.