FOUR SEASONS REHAB, INC. (NPI# 1164527628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164527628 |
| Entity Type | Organization |
| Organization Name | FOUR SEASONS REHAB, INC. |
| Practice Address |
108 1/2 Spruce St Bluefield VA 24605-1738 |
| Mailing Address |
Po Box 536 Bluefield VA 24605-0536 |
| Practice Telephone | 2763225511 |
| Practice Fax Number | 2763222525 |
| Mailing Telephone | 2763225511 |
| Mailing Fax Number | 2763222525 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. VICTORIA BOURNE (PRESIDENT) |
| Authorized Official Telephone | 2763225511 |
| Authorized Official Credential | M.S., CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
2202001125 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0154598000 | 05 |
| Street Address |
108 1/2 SPRUCE ST |
| City | BLUEFIELD |
| State | VA |
| Zip Code | 24605-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720258338 | Victoria Bourne | Speech-Language Pathologist | 108 1/2 Spruce St, Bluefield, VA 24605-1738 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539954 | Meghan Lee Bohach | Specialist/Technologist | 3000 College Dr., Bluefield, VA 24605 | 2019-07-08 |
| 1033579636 | Mt. State Ent & Facial Plastic Surgery, Inc. | Clinic/Center | 2 Westwood Professional Park, Bluefield, VA 24605 | 2016-02-25 |
| 1053719229 | Erika Elaine Bell | Specialist/Technologist | 3000 College Ave, Bluefield, VA 24605 | 2014-12-19 |
| 1487948006 | Fermin Castro | Occupational Therapist | 20 Westwood Memorial Park, Bluefield, VA 24605 | 2011-05-31 |
| 1033422027 | Crewz LLC | Skilled Nursing Facility | Building 20, Westwood Medical Park, Bluefield, VA 24605 | 2010-07-19 |
| 1285966358 | Catherine Gillespie | Speech-Language Pathologist | 108 1/2 Spruce Street, Bluefield, VA 24605 | 2010-02-01 |
| 1790951432 | Derek S Buck | Physical Medicine & Rehabilitation | 111e Sanders Ln, Bluefield, VA 24605 | 2008-05-02 |
| 1275745994 | Christina Lynn Adkins | Occupational Therapist | Westwood Healthcare Center, Westwood Medical Park, Bluefield, VA 24605 | 2007-05-04 |
| 1215158100 | Beth Ann Reed | Physical Therapist | Westwood Center, Westwood Medical Park Rehab Department, Bluefield, VA 24605 | 2007-05-01 |
| 1164543559 | Constance L. Erickson | Speech-Language Pathologist | Westwood Office Park, Bluefield, VA 24605 | 2007-04-03 |
| Find all providers in zip 24605 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353890 | Speech At The Beach, Pllc | Clinic/Center | 2413 Kenstock Dr, Virginia Beach, VA 23454-3310 | 2020-10-16 |
| 1669012803 | Speech and Language Center of Northern Virginia | Clinic/Center | 1125 Savile Ln, Mc Lean, VA 22101-1833 | 2020-01-15 |
| 1710451208 | Building Blocks Speech Therapy, Inc. | Clinic/Center | 12661 Victory Lakes Loop, Bristow, VA 20136-1274 | 2019-01-17 |
| 1508337098 | Conversation Skills, LLC | Clinic/Center | 10467 White Granite Dr Ste 13, Oakton, VA 22124-2763 | 2018-12-10 |
| 1578042073 | Potomac Speech, LLC | Clinic/Center | 20657 Shoal Place, Sterling, VA 20165 | 2018-08-07 |
| 1659868925 | Imperial Hearing, LLC | Clinic/Center | 3780 Peters Creek Road Ext Sw, Roanoke, VA 24018-1528 | 2018-04-22 |
| 1972022440 | Gn Hearing Care Corporation | Clinic/Center | 650 Millwood Ave, Winchester, VA 22601-5167 | 2017-09-15 |
| 1114459310 | Missionaries of Good Education and Healthcare, Inc. | Clinic/Center | 8300 Boone Blvd Ste 565, Vienna, VA 22182-2626 | 2017-03-28 |
| 1558755140 | Communication Therapy LLC | Clinic/Center | 111 Dover Rd, Williamsburg, VA 23185-3207 | 2015-03-23 |
| 1174938393 | Courtland Hearing Aids and Balance, LLC | Clinic/Center | 22730 Main St, Courtland, VA 23837-1127 | 2014-06-26 |
| Find all providers with the same taxonomy | ||||
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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.