Healthcare Provider Details
I. General information
NPI: 1073732657
Provider Name (Legal Business Name): VIRGINIA UNITED METHODIST HOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/24/2007
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1009 OLD COUNTRY CLUB RD NW
ROANOKE VA
24017-2927
US
IV. Provider business mailing address
120 EASTSHORE DR STE 130
GLEN ALLEN VA
23059-5985
US
V. Phone/Fax
- Phone: 540-767-6810
- Fax: 540-344-8919
- Phone: 804-474-8707
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 313M00000X |
| Taxonomy | Nursing Facility/Intermediate Care Facility |
| License Number | NH2674 |
| License Number State | VA |
VIII. Authorized Official
Name:
KEVIN
LEIGH
SALMINEN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 804-474-8707