Healthcare Provider Details

I. General information

NPI: 1801979158
Provider Name (Legal Business Name): NRV NURSING CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 03/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 LITTON LN
BLACKSBURG VA
24060-6399
US

IV. Provider business mailing address

2607 WARM HEARTH DR
BLACKSBURG VA
24060-6259
US

V. Phone/Fax

Practice location:
  • Phone: 540-443-3400
  • Fax:
Mailing address:
  • Phone: 540-443-3403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberNH2741
License Number StateVA

VIII. Authorized Official

Name: WAYNE H HOWELL
Title or Position: CFO
Credential:
Phone: 540-443-3403