MR. VICTOR TRACY EDWARDS (NPI# 1104221480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104221480 |
| Entity Type | Individual |
| Full Name | MR. VICTOR TRACY EDWARDS |
| Credential | OTR/L |
| Practice Address |
395 Richmond St Jonesville VA 24263-6505 |
| Practice Telephone | 2763464161 |
| Mailing Telephone | 2763464161 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
395 RICHMOND ST |
| City | JONESVILLE |
| State | VA |
| Zip Code | 24263-6505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508184474 | Hansel Barlow Newman II | Pharmacist | 1 Chappell Garden Drive, Jonesville, VA 24263 | 2010-05-17 |
| 1275657082 | Amy Michele Mabe | Pharmacist | Chappel Garden Dr, Jonesville, VA 24263 | 2007-03-19 |
| 1669503249 | Kimberly K Coffey | Pharmacist | 154 Chappell Dr., Jonesville, VA 24263 | 2007-03-08 |
| 1275671539 | Melinda Jane Woliver | Case Manager/Care Coordinator | Rt 3, Box 1700 Lee County Behavioral Health Services, Jonesville, VA 24263 | 2007-02-01 |
| 1265570535 | Jennifer Andrea Snodgrass | Registered Nurse | Route 3 Box 1700, Lee County Behavioral Health Services Highway 58, Jonesville, VA 24263 | 2007-02-01 |
| 1205974581 | Heather Rene Crouse | Counselor | 34084 Wilderness Road, Jonesville, VA 24263 | 2007-02-01 |
| 1659436228 | Frontier Health | Case Management | Rt 3 Box 1700, Jonesville, VA 24263 | 2006-12-26 |
| 1699887539 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | Hill Street, Jonesville, VA 24263 | 2006-08-31 |
| 1750493888 | Lee County Dental Clinic | Dentist | Lee Co Dental Clinic, Hill Street, Jonesville, VA 24263 | 2006-08-31 |
| 1740399617 | Lee County School | Local Education Agency (LEA) | 5 Park Street, Jonesville, VA 24263 | 2006-08-30 |
| Find all providers in zip 24263 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790742948 | Commcare Corporation | Skilled Nursing Facility | 3025 Fourth St, Jonesville, LA 71343-2404 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760015119 | Mikaylah Lang | Skilled Nursing Facility | 4505 Georgewashington Hwy, Portsmouth, VA 23702 | 2020-02-13 |
| 1134760432 | Valley Operator LLC | Skilled Nursing Facility | 940 E Lee Hwy, Chilhowie, VA 24319-3237 | 2019-10-08 |
| 1871134171 | Westport Operator LLC | Skilled Nursing Facility | 7300 Forest Ave, Richmond, VA 23226-3735 | 2019-10-08 |
| 1437790730 | Hopewell Operator LLC | Skilled Nursing Facility | 905 Cousins Ave, Hopewell, VA 23860-6507 | 2019-10-08 |
| 1013478411 | Blue Ridge Snf Operations LLC | Skilled Nursing Facility | 105 Landmark Dr, Stuart, VA 24171-9401 | 2019-03-28 |
| 1265924260 | Nassawadox Life Care, LLC | Skilled Nursing Facility | 9468 Hospital Road, Nassawadox, VA 23413-0176 | 2018-06-05 |
| 1518459593 | Big Stone Gap Life Care, LLC | Skilled Nursing Facility | 2045 Valley View Dr, Big Stone Gap, VA 24219-3319 | 2018-06-05 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1033660360 | Nathan Ian Dalleave | Skilled Nursing Facility | 1243 Lanier Rd, Martinsville, VA 24112-5211 | 2016-10-21 |
| Find all providers with the same taxonomy | ||||
| City | JONESVILLE |
| Zip Code | 24263 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.