NPIMap

Organization Active NPI

Virginia Mennonite Home, Inc

  • Assisted Living Facility
  • Harrisonburg, VA
National Provider Identifier
1992020176
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
VLO-000272 Issued in VA
Legal business name
VIRGINIA MENNONITE HOME, INC
Practice address
1401 Virginia Ave
Harrisonburg, VA 22802-2433
Phone
(540) 564-3550
NPI assigned
Mar 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Mr. Curtis Stutzman
Title
Cfo
Phone
(540) 564-3414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X VLO-000272 VA Primary

Addresses

Primary practice location

1401 Virginia Ave
Harrisonburg, VA 22802-2433

Mailing address

1501 Virginia Ave
Harrisonburg, VA 22802-2452

Other names 1

  • Crestwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Virginia Mennonite Home Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1116 E Lauridsen Blvd
Port Angeles, WA 98362
Phone (360) 452-9206

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1992020176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 VIRGINIA AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228022452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 VIRGINIA AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228022433",
            "telephone_number": "540-564-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA MENNONITE HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "STUTZMAN",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "540-564-3414",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "VLO-000272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.