Healthcare Provider Details
I. General information
NPI: 1689283715
Provider Name (Legal Business Name): HAMPTON HEALTH & REHAB CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/24/2020
Last Update Date: 01/14/2022
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2230 EXECUTIVE DR
HAMPTON VA
23666-2430
US
IV. Provider business mailing address
23700 COMMERCE PARK
BEACHWOOD OH
44122-5827
US
V. Phone/Fax
- Phone: 757-224-2230
- Fax:
- Phone: 216-292-5706
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
I.
WEISBERG
Title or Position: PRESIDENT
Credential:
Phone: 216-292-5706