Longwood Rest Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

R009156 Issued in VA

Legal business name

LONGWOOD REST HOME

Doing business as

Campbell Rest Home

Practice address

1350 Longwood Ave
Bedford, VA 24523-2205

Phone

(540) 586-0825

Fax

(540) 586-1704

NPI assigned

Oct 13, 2009

Last updated

Oct 13, 2009By 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

Mrs. Helen Wyatt Burks, R.N.

Title

Administrator

Phone

(540) 586-0825

Specialties & licenses 1

Addresses

Other names 1

• Campbell Rest Home Doing business as

Locations

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1902131758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 LONGWOOD AVE",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232205",
            "telephone_number": "540-586-0825",
            "fax_number": "540-586-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 LONGWOOD AVE",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232205",
            "telephone_number": "540-586-0825",
            "fax_number": "540-586-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGWOOD REST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "WYATT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "540-586-0825",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "R009156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Rest Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Bedford, VA
• Providers in Bedford, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.