Medical Facilities of America Il

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2567 Issued in VA

Legal business name

MEDICAL FACILITIES OF AMERICA IL

Practice address

561 N Airport Dr
Highland Springs, VA 23075-2100

Phone

(804) 737-0172

Fax

(804) 328-1073

NPI assigned

Aug 15, 2006

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

• Henrico Health & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1881607034",
    "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": "561 N AIRPORT DR",
            "city": "HIGHLAND SPRINGS",
            "state": "VA",
            "postal_code": "230752100",
            "telephone_number": "804-737-0172",
            "fax_number": "804-328-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FACILITIES OF AMERICA IL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-05-19",
        "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": "NH2567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4951930",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henrico Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Life Touch Services, LLC
• Charmaine Malone
• Andrew Gregory Maples II
• Rosita Shirley Mason
• Jeffrey M. Matherne
• Cathy M Moore
• Grace Mosher, M.S., CCC-SLP
• New Roots Treatment Center LLC
• Claire Nickell, PHARMD
• On-Site Physicians Group, PLLC

• Skilled Nursing Facility in Highland Springs, VA
• Providers in Highland Springs, 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 19, 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.