Heritage Hall - Blackstone

LBN: Blackstone Life Care, Llc
Heritage Hall - Blackstone is an health care organization with primary practice located at 900 S Main St , Blackstone VA 23824-2644. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Blackstone Life Care, Llc can be contacted via phone (434) 292-5301, or through Haines, James L via phone (540) 774-4263.

Contact Information

Primary practice address
900 S Main St Blackstone VA 23824-2644
Phone: (434) 292-5301
Fax: (434) 292-6041
Website:
Map and Directions
Authorized official contact:
Name: Haines, James L JD
Phone: (540) 774-4263

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1215429386
LBN Legal business name Blackstone Life Care, Llc
DBA Doing business as Heritage Hall - Blackstone
Authorized official Haines, James L JD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2018
Last updated Jun 4th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215429386 NPPES
Other 200515603 FEDERAL BLACK LUNG
Other 180505 FEDERAL BLACK LUNG
MEDICAID 4953533 FEDERAL BLACK LUNG

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