PATRICK HENRY HOSPITAL, INC. (NPI# 1255448379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255448379 |
| Entity Type | Organization |
| Organization Name | PATRICK HENRY HOSPITAL, INC. |
| Other Organization Name | RIVERSIDE CONVALESCENT CENTER, MATHEWS |
| Practice Address |
603 Main St. Mathews VA 23109 |
| Mailing Address |
608 Denbigh Blvd Suite 600 Newport News VA 23608-4410 |
| Practice Telephone | 8047259443 |
| Practice Fax Number | 8047253184 |
| Mailing Telephone | 7578752023 |
| Mailing Fax Number | 7578752016 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-11-26 |
| Authorized Official Name | MR. DAVID TATE (SENIOR VP, LTC) |
| Authorized Official Telephone | 7578752050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
49E215 | VA | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
49E215 | VA | Suppliers |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 49E215 | VA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Riverside Convalescent Center, Mathews | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740388560 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 1010 Old Denbigh Blvd, Newport News, VA 23602-2017 | 2006-09-20 |
| 1205942703 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 20 Delfae Dr, Warsaw, VA 22572-4281 | 2006-08-21 |
| 1588779193 | Patrick Henry Hospital, Inc. | Nursing Facility/Intermediate Care Facility | 200 Lumar Rd, Smithfield, VA 23430-1521 | 2006-08-21 |
| 1629184072 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 3435 John Tyler Hwy, Building 2, Suite A, Williamsburg, VA 23185-1457 | 2006-08-21 |
| 1225143498 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 672 Gloucester Rd, Saluda, VA 23149 | 2006-08-20 |
| 1194830703 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 2960 Chelsea Rd, West Point, VA 23181-9793 | 2006-08-21 |
| Street Address |
603 MAIN ST. |
| City | MATHEWS |
| State | VA |
| Zip Code | 23109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124500160 | Lynette R Glockner, Inc. | Pharmacy | 10858 Buckley Hall Road, Mathews, VA 23109 | 2018-09-06 |
| 1366940926 | Jessica Tracy Archinal | Psychologist | 387 Church Street, Mathews, VA 23109 | 2018-01-30 |
| 1114375904 | Emily May | Occupational Therapy Assistant | 1030 Pine Hall Road, Mathews County, VA 23109 | 2016-06-02 |
| 1265774012 | Ingrid Elizabeth Fincher | Nurse Practitioner | 10976 Buckley Hall Rd, Mathews, VA 23109 | 2013-03-20 |
| 1902135130 | 5 Star Oriental Medicine | Clinic/Center | 28 Church Street, Mathews, VA 23109 | 2009-12-17 |
| 1861597692 | Brad E Skelding | Social Worker | 40 Court Street, Mathews, VA 23109 | 2006-09-14 |
| 1205846870 | Mathews County Public Schools | Local Education Agency (LEA) | 63 Church Street, Mathews, VA 23109 | 2006-08-08 |
| 1295756096 | Riverside Physician Services Inc | Internal Medicine | 10976 Buckley Hall Road, Mathews, VA 23109 | 2006-07-21 |
| 1679548705 | Shannon D Burris | Nurse Practitioner | 28 Church St, Mathews, VA 23109 | 2006-02-22 |
| 1831677459 | Lynette Renae Glockner | Pharmacy | 10858 Buckley Hall Rd, Mathews, VA 23109 | 2018-08-06 |
| Find all providers in zip 23109 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
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|---|---|---|---|---|
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| 1962843805 | Caring Hands Facilitators | Nursing Facility/Intermediate Care Facility | 1600 Selma Pl, Richmond, VA 23223-1281 | 2013-07-08 |
| 1699111864 | Able Support Facilitators | Nursing Facility/Intermediate Care Facility | 5 Stratford Dr, 113, Fishersville, VA 22939-2145 | 2013-05-15 |
| 1477835569 | Genesis Rehab Services | Nursing Facility/Intermediate Care Facility | 200 W Uhler Ter, Alexandria, VA 22301 | 2011-09-14 |
| 1447491394 | Lakewood Manor Baptist Retirement Community | Nursing Facility/Intermediate Care Facility | 1900 Lauderdale Dr, Richmond, VA 23238-3902 | 2009-03-23 |
| 1376784488 | The Glebe, Inc. | Nursing Facility/Intermediate Care Facility | 200 The Glebe Blvd, Daleville, VA 24083-3722 | 2009-03-19 |
| 1518160191 | Department of Veterans Affairs | Nursing Facility/Intermediate Care Facility | 19508 Mccray Dr, Abingdon, VA 24211-6838 | 2007-06-09 |
| 1457561003 | Virginia United Methodist Homes, Inc. | Nursing Facility/Intermediate Care Facility | 23610 North St, Onancock, VA 23417-2024 | 2007-05-23 |
| 1154535334 | Powhatan Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 2100 Powhatan St, Falls Church, VA 22043-1940 | 2007-05-09 |
| 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.