Heritage Hall - Leesburg

LBN: Leesburg Life Care, Llc
Heritage Hall - Leesburg is an health care organization with primary practice located at 122 Morven Park Rd Nw , Leesburg VA 20176-2024. 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. Leesburg Life Care, Llc can be contacted via phone (703) 777-8700, or through Haines, James L via phone (540) 774-4263.

Contact Information

Primary practice address
122 Morven Park Rd Nw Leesburg VA 20176-2024
Phone: (703) 777-8700
Fax: (703) 777-1532
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 1548752629
LBN Legal business name Leesburg Life Care, Llc
DBA Doing business as Heritage Hall - Leesburg
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 1548752629 NPPES
Virginia MEDICAID 4952618
Virginia Other 180509
Virginia Other 200515604

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