CLARKSVILLE SENIOR CARE, LLC (NPI# 1518915651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518915651 |
| Entity Type | Organization |
| Organization Name | CLARKSVILLE SENIOR CARE, LLC |
| Other Organization Name | MEADOWVIEW TERRACE |
| Practice Address |
184 Buffalo Rd Clarksville VA 23927 |
| Mailing Address |
Po Box 649 South Boston VA 24592-0649 |
| Practice Telephone | 4343744141 |
| Practice Fax Number | 4343744491 |
| Mailing Telephone | 4345173085 |
| Mailing Fax Number | 4345173721 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | MR. STEWART NELSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4345173183 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
NH2745 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4960793 | 05 |
| Other Name | Type Code |
|---|---|
| MeadowView Terrace | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974029 | Clarksville Senior Care, LLC | Skilled Nursing Facility | 184 Buffalo Rd, Clarksville, VA 23927 | 2005-06-30 |
| Street Address |
184 BUFFALO RD |
| City | CLARKSVILLE |
| State | VA |
| Zip Code | 23927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974029 | Clarksville Senior Care, LLC | Skilled Nursing Facility | 184 Buffalo Rd, Clarksville, VA 23927 | 2005-06-30 |
| 1134738248 | Clarksville Health & Rehab Center, LLC | Skilled Nursing Facility | 184 Buffalo Rd, Clarksville, VA 23927-9010 | 2020-07-24 |
| 1265090633 | Sara Elizabeth Callahan | Physical Therapy Assistant | 184 Buffalo Rd, Clarksville, VA 23927-9010 | 2019-05-31 |
| 1538724331 | Chelsey Marie Tanner | Speech-Language Pathologist | 184 Buffalo Rd, Clarksville, VA 23927-9010 | 2019-05-07 |
| 1124591581 | Joseph O'neal | Physical Therapist | 184 Buffalo Rd, Clarksville, VA 23927-9010 | 2019-01-09 |
| 1043783301 | Lacey Feezor | Occupational Therapy Assistant | 184 Buffalo Rd, Clarksville, VA 23927-9010 | 2019-01-09 |
| 1932672334 | Elizabeth Nelson Moore | Physical Therapy Assistant | 184 Buffalo Rd, Clarksville, VA 23927-9010 | 2019-01-08 |
| 1750883138 | Kimberly Tunstall O'neal | Speech-Language Pathologist | 184 Buffalo Rd, Clarksville, VA 23927-9010 | 2018-03-01 |
| 1548531858 | Barbara Wilkinson Morrison | Occupational Therapist | 184 Buffalo Rd, Clarksville, VA 23927-9010 | 2012-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912252958 | Southside Csb | Intermediate Care Facility, Mentally Retarded | 143 Industrial Pky, Clarksville, VA 23927 | 2012-07-16 |
| 1730485905 | Southside Csb | Intermediate Care Facility, Mentally Retarded | 143 Industrial Pkwy, Clarksville, VA 23927 | 2011-02-04 |
| 1346306859 | Reginald S Young | Dentist | 611 Virginia Avenue, Clarksville, VA 23927 | 2006-12-29 |
| 1083792261 | Clarksville Counseling Center, Plc | Counselor | 403 Virginia Avenue, Suite F, Clarksville, VA 23927 | 2006-11-02 |
| 1396830956 | Sabrina Bullock | Midwife | 606 Virginia Avenue, Clarksville, VA 23927 | 2006-10-03 |
| 1831282946 | Food Lion LLC | Durable Medical Equipment & Medical Supplies | 1013 Virginia Ave, Clarksville, VA 23927 | 2006-10-02 |
| 1669572897 | Dominion Health Medical Assoc | Legal Medicine | 115 College St, Clarksville, VA 23927 | 2006-09-25 |
| 1255350807 | Clarksville Community Pharmacy, Inc. | Pharmacist | 11226 Hwy. 15 S., Clarksville, VA 23927 | 2006-07-18 |
| 1861755746 | Rachael Burton | Family Medicine | 115 College St, Clarksville, VA 23927 | 2012-06-16 |
| 1124271358 | Richard L Brown | Chiropractor | 914-c Virginia Ave, Clarksville, VA 23927-0933 | 2008-10-31 |
| Find all providers in zip 23927 | ||||
| Taxonomy Code | 332BN1400X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Nursing Facility Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793038 | Clarksville Nursing Center, L.p. | Durable Medical Equipment & Medical Supplies | 300 E Baker St, Clarksville, TX 75426-5034 | 2005-10-12 |
| 1073849469 | Clarksville Snf LLC | Durable Medical Equipment & Medical Supplies | 300 E Baker St, Clarksville, TX 75426-5034 | 2009-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588130538 | 1st Choice Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 768 Sandbridge Rd, Virginia Beach, VA 23456-4521 | 2018-10-17 |
| 1396067096 | Cda Homecare Inc | Durable Medical Equipment & Medical Supplies | 208 Lewis Rd, Portsmouth, VA 23701-1326 | 2010-02-22 |
| 1922286327 | Chemical Detection Services, Inc | Durable Medical Equipment & Medical Supplies | 5505 Cherokee Ave, Alexandria, VA 22312-2306 | 2008-02-07 |
| 1356531966 | Advanced Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 165 Plaza Rd, Ste 20, Wise, VA 24293-4613 | 2007-07-30 |
| 1255448379 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 603 Main St., Mathews, VA 23109 | 2006-08-24 |
| 1316975402 | Health Pro LLC | Durable Medical Equipment & Medical Supplies | 3959 Electric Rd, Suite 400, Roanoke, VA 24018-4562 | 2006-06-29 |
| 1275738437 | Bg Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 450 W Broad St, Suite 420, Falls Church, VA 22046-3340 | 2007-06-18 |
| 1881768901 | Inova Health System Services | Durable Medical Equipment & Medical Supplies | 4315 Chain Bridge Rd, Fairfax, VA 22030-3061 | 2006-11-20 |
| 1578634267 | Inova Health System Services | Durable Medical Equipment & Medical Supplies | 1800 Cameron Glen Dr, Reston, VA 20190-3308 | 2006-11-13 |
| 1992875025 | Horizon Healthcare Management | Durable Medical Equipment & Medical Supplies | 185 Stafford Umberger Rd, Wytheville, VA 24382-4439 | 2006-11-08 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 23927 |
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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.