WAVERLY VA OPCO LLC (NPI# 1689209488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689209488 |
| Entity Type | Organization |
| Organization Name | WAVERLY VA OPCO LLC |
| Practice Address |
456 E Main St Waverly VA 23890-3237 |
| Mailing Address |
440 Sylvan Ave Ste 240 Englewood Cliffs NJ 07632-2700 |
| Practice Telephone | 8048343975 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | BATYA GORELICK (VP OF ADMIN SERVICES) |
| Authorized Official Telephone | 8048343975 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Accordius Health at Waverly | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | WAVERLY VA OPCO LLC | 440 Sylvan Ave Ste 240, Englewood Cliffs, New Jersey 07632 |
| Street Address |
456 E MAIN ST |
| City | WAVERLY |
| State | VA |
| Zip Code | 23890-3237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053538421 | Horizon Health Services Inc | Clinic/Center | 344 West Main Street, Waverly, VA 23890 | 2007-04-19 |
| 1750312591 | Regina Francine Smith | Social Worker | 232 Coppahaunk Ave, Waverly, VA 23890 | 2006-07-06 |
| 1487961447 | Waverly Rescue Squad, Inc | Ambulance | 115 Bank Street, Waverly, VA 23890 | 2010-09-10 |
| 1407089592 | Waverly Volunteer Rescue Squad | Ambulance | 115 Bank St, Waverly, VA 23890 | 2009-08-24 |
| 1174683619 | Jillian Grizzard Fajna | Pharmacist | 328 W Main St, Waverly Drugs, Waverly, VA 23890 | 2006-12-12 |
| 1972607356 | Alvin Bradley | Pharmacist | 328 W Main St, Waverly, VA 23890 | 2006-09-07 |
| 1013407659 | Full Focus Training Center LLC | Community/Behavioral Health | 744 West Main Street, Waverly, VA 23890-0213 | 2018-05-17 |
| 1114096542 | Talmage Thomas Musgrove IIi | Pharmacist | 328 W Main St, Waverly, VA 23890-0596 | 2006-11-07 |
| 1053390906 | George Coleman | Family Medicine | 344 W Main St, Waverly, VA 23890-3235 | 2006-01-10 |
| 1497302350 | Back Home Pharmacy Inc | Pharmacy | 328 W Main St, Waverly, VA 23890-3235 | 2019-08-23 |
| Find all providers in zip 23890 | ||||
| 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 |
|---|---|---|---|---|
| 1871606590 | Medical Facilities of America L | Skilled Nursing Facility | 456 East Main Street, Waverly, VA 23890-3237 | 2006-08-16 |
| 1134157191 | Waverly 1 Inc | Skilled Nursing Facility | 100 West Thomas Drive, Waverly, MO 64096-9143 | 2006-06-29 |
| 1871549592 | Five Star Quality Care-ne LLC | Skilled Nursing Facility | 11041 N 137th St, Waverly, NE 68462-1022 | 2006-05-25 |
| 1730145822 | Waverly Health Care and Rehabilitation Center Inc | Skilled Nursing Facility | 895 Powers Blvd, Waverly, TN 37185 | 2006-04-26 |
| 1255308094 | Northeast Medical & Oxygen | Skilled Nursing Facility | 2 Glenview Lane, Northeast Medical & Oxygen, Waverly, PA 18471 | 2006-03-01 |
| 1013904432 | Bartels Lutheran Home | Skilled Nursing Facility | 1922 5th Ave Nw, Waverly, IA 50677-1903 | 2005-09-30 |
| 1386641199 | Tioga Nursing Home | Skilled Nursing Facility | 37 N Chemung St, Waverly, NY 14892-1211 | 2005-07-07 |
| 1669033072 | Bcp Waverly, LLC | Skilled Nursing Facility | 11041 N 137th St, Waverly, NE 68462-1022 | 2019-06-26 |
| 1073937975 | Tina Rogers | Skilled Nursing Facility | 11041 N 137th St, Waverly, NE 68462-1022 | 2014-02-12 |
| 1891068565 | 37 North Chemung Street Operating Company LLC | Skilled Nursing Facility | 37 N Chemung St, Waverly, NY 14892-1211 | 2012-02-10 |
| Find all providers in WAVERLY | ||||
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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.