Heritage Hall - King George

LBN: King George Life Care, Llc
Heritage Hall - King George is an health care organization with primary practice located at 10051 Foxes Way , King George VA 22485-3458. 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. King George Life Care, Llc can be contacted via phone (540) 775-4000, or through Haines, James L via phone (540) 774-4263.

Contact Information

Primary practice address
10051 Foxes Way King George VA 22485-3458
Phone: (540) 775-4000
Fax: (540) 775-3637
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 NH2577 Virginia

Profile Details

NPI number 1417449422
LBN Legal business name King George Life Care, Llc
DBA Doing business as Heritage Hall - King George
Authorized official Haines, James L JD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2018
Last updated Jun 5th, 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 1417449422 NPPES
Other 180508 ANTHEM BCBS
Other 200515607 ANTHEM BCBS
MEDICAID 4953002 ANTHEM BCBS

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