MEDICARE: HP/CARRINGTON, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	NH2529	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558394650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HP/CARRINGTON, INC.

Provider Business Mailing Address
First Line	:	2406 ATHERHOLT RD
Second Line	:
City	:	LYNCHBURG
State	:	VA
Zip	:	24501-2148
Country	:	US
Telephone Number	:	434-846-3200
Fax Number	:	434-846-3436

Provider Business Practice Location Address
First Line	:	2406 ATHERHOLT RD
Second Line	:
City	:	LYNCHBURG
State	:	VA
Zip	:	24501-2148
Country	:	US
Telephone Number	:	434-846-3200
Fax Number	:	434-846-3436

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DOUGLAS K MITTLEIDER
Credential	:
Telephone Number	:	770-619-0866

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	05/25/2010

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Directions to “HP/CARRINGTON, INC. ” Practice Location

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