King'S Grant

LBN: Sunnyside Presbyterian Home
King'S Grant is an health care organization with primary practice located at 350 Kings Way Rd , Martinsville VA 24112-6631. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Sunnyside Presbyterian Home can be contacted via phone (276) 634-1000, or through White, Paul via phone (540) 568-8237.

Contact Information

Primary practice address
350 Kings Way Rd Martinsville VA 24112-6631
Phone: (276) 634-1000
Fax: (276) 634-1599
Website:
Map and Directions
Authorized official contact:
Name: White, Paul
Phone: (540) 568-8237

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X RO05417 Virginia
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH2602 Virginia

Profile Details

NPI number 1366431652
LBN Legal business name Sunnyside Presbyterian Home
DBA Doing business as King'S Grant
Authorized official White, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated May 26th, 2020 - about 6 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 1366431652 NPPES
Virginia MEDICAID 4954081

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