Healthcare Provider Details

I. General information

NPI: 1053361766
Provider Name (Legal Business Name): HILLSVILLE REHABILITATION AND HEALTHCARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 10/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 FULCHER ST
HILLSVILLE VA
24343-1633
US

IV. Provider business mailing address

222 FULCHER ST
HILLSVILLE VA
24343-1633
US

V. Phone/Fax

Practice location:
  • Phone: 276-728-2486
  • Fax: 276-728-9379
Mailing address:
  • Phone: 276-728-2486
  • Fax: 276-728-9379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH2549
License Number StateVA

VIII. Authorized Official

Name: MICHELLE D MEER
Title or Position: VICE PRESIDENT & SECRETARY
Credential:
Phone: 629-626-0000