Healthcare Provider Details

I. General information

NPI: 1285603142
Provider Name (Legal Business Name): CHASE CITY HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 01/13/2021
Certification Date: 01/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5539 HIGHWAY 47
CHASE CITY VA
23924-3727
US

IV. Provider business mailing address

5372 FALLOWATER LN SUITE 200
ROANOKE VA
24018-0907
US

V. Phone/Fax

Practice location:
  • Phone: 434-372-8885
  • Fax: 434-372-8886
Mailing address:
  • Phone: 540-725-8910
  • Fax: 540-725-8914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH2755
License Number StateVA

VIII. Authorized Official

Name: JOSEPH ANTHONY ALESANTRINO
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 540-725-8910