Healthcare Provider Details

I. General information

NPI: 1336651793
Provider Name (Legal Business Name): THORNTON HALL NURSING AND REHABILITATION CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2017
Last Update Date: 02/10/2020
Certification Date: 02/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 NORVIEW AVE
NORFOLK VA
23509-1540
US

IV. Provider business mailing address

10500 LITTLE PATUXENT PKWY STE 300
COLUMBIA MD
21044-3522
US

V. Phone/Fax

Practice location:
  • Phone: 757-853-6281
  • Fax: 757-855-3361
Mailing address:
  • Phone: 410-990-0500
  • Fax: 443-539-7657

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: MR. EAMONN DENNIS REILLY
Title or Position: MANAGER
Credential:
Phone: 301-758-3380