Healthcare Provider Details

I. General information

NPI: 1871580753
Provider Name (Legal Business Name): VIRGINIA HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 08/28/2020
Certification Date: 08/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7602 MEREDITH DR
GLOUCESTER VA
23061-4151
US

IV. Provider business mailing address

240 NAT TURNER BLVD S
NEWPORT NEWS VA
23606-0020
US

V. Phone/Fax

Practice location:
  • Phone: 804-693-6503
  • Fax: 804-693-6412
Mailing address:
  • Phone: 757-596-6268
  • Fax: 757-595-0966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH2715
License Number StateVA

VIII. Authorized Official

Name: MRS. NICOLE LEIGH BOLDY
Title or Position: CFO
Credential:
Phone: 757-599-7422