Healthcare Provider Details

I. General information

NPI: 1275462277
Provider Name (Legal Business Name): EMPORIA SNF OPS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 WEAVER AVE
EMPORIA VA
23847-1224
US

IV. Provider business mailing address

71-34 MAIN STREET
FLUSHING NY
11367
US

V. Phone/Fax

Practice location:
  • Phone: 434-348-2150
  • Fax: 434-348-2157
Mailing address:
  • Phone: 434-348-2150
  • Fax: 804-567-6706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JAKE HARTSTEIN
Title or Position: MANAGER
Credential:
Phone: 917-716-9881