BIG STONE GAP LIFE CARE, LLC (NPI# 1518459593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518459593 |
| Entity Type | Organization |
| Organization Name | BIG STONE GAP LIFE CARE, LLC |
| Other Organization Name | HERITAGE HALL - BIG STONE GAP |
| Practice Address |
2045 Valley View Dr Big Stone Gap VA 24219-3319 |
| Practice Telephone | 2765233000 |
| Practice Fax Number | 2765230531 |
| Mailing Telephone | 2765233000 |
| Mailing Fax Number | 2765230531 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |
| Authorized Official Name | MR. JAMES L HAINES (CCO & GENERAL COUNSEL) |
| Authorized Official Telephone | 5407744263 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH2568 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM BCBS | 180506 | 01 | |
| FEDERAL BLACK LUNG | 200515602 | 01 | |
| VA | 4951352 | 05 |
| Other Name | Type Code |
|---|---|
| Heritage Hall - Big Stone Gap | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679563068 | Big Stone Gap Life Care, LLC | Skilled Nursing Facility | 2045 Valley View Dr E, Big Stone Gap, VA 24219 | 2005-10-26 |
| Street Address |
2045 VALLEY VIEW DR |
| City | BIG STONE GAP |
| State | VA |
| Zip Code | 24219-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881161859 | Morgan Paige Powers | Nurse Practitioner | 2045 Valley View Dr, Big Stone Gap, VA 24219-3319 | 2018-10-29 |
| 1518441021 | Nazrin Dixon Roberson Scott | Occupational Therapist | 2045 Valley View Dr, Big Stone Gap, VA 24219-3319 | 2018-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408962 | Dillon Wayne Roberts | Private Vehicle | 2101 Seterra St, Big Stone Gap, VA 24219 | 2020-02-05 |
| 1609427525 | Joan M Daniel | Technician | 800 Buffalo Ridge Road, Big Stone Gap, VA 24219 | 2019-09-23 |
| 1932634953 | Big Stone Economy Drug Inc | Pharmacy | 205 East 5th Street North, Big Stone Gap, VA 24219 | 2017-04-27 |
| 1639519655 | Family Preservation Services, Inc. | Community/Behavioral Health | Two Champions Avenue, Big Stone Gap, VA 24219 | 2013-07-05 |
| 1134464456 | Family Preservation Services, Inc | Community/Behavioral Health | 212 Monta Vista Lane, Big Stone Gap, VA 24219 | 2012-11-28 |
| 1902158892 | Tommie Jo Harding | Registered Nurse | 1508 Third Ave East, Big Stone Gap, VA 24219 | 2012-10-03 |
| 1366793002 | Rebecca Ely Johnson | Registered Nurse | 1508 3rd Ave. East, Big Stone Gap, VA 24219 | 2012-09-20 |
| 1770833238 | Melinda Dawn Hamm | Licensed Practical Nurse | 1508 3rd Ave East, Big Stone Gap, VA 24219 | 2012-09-12 |
| 1801197470 | Family Preservation Services, Inc. | Community/Behavioral Health | 170 Mountain View Circle, Big Stone Gap, VA 24219 | 2010-11-12 |
| 1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
| Find all providers in zip 24219 | ||||
| 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 |
|---|---|---|---|---|
| 1679563068 | Big Stone Gap Life Care, LLC | Skilled Nursing Facility | 2045 Valley View Dr E, Big Stone Gap, VA 24219 | 2005-10-26 |
| 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 |
| 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 |
| 1669823373 | Allyson Clark | Skilled Nursing Facility | 490 Paradise Ln, Saxe, VA 23967-5529 | 2016-06-23 |
| Find all providers with the same taxonomy | ||||
| City | BIG STONE GAP |
| Zip Code | 24219 |
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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.