Healthcare Provider Details

I. General information

NPI: 1689277170
Provider Name (Legal Business Name): WEST POINT SNF OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2020
Last Update Date: 02/22/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2960 CHELSEA RD
WEST POINT VA
23181-9793
US

IV. Provider business mailing address

1195 RAILROAD AVE
HEWLETT NY
11557-2316
US

V. Phone/Fax

Practice location:
  • Phone: 804-843-4323
  • Fax:
Mailing address:
  • Phone: 516-855-5504
  • Fax:

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. SHIMON IDELS
Title or Position: CHIEF OPERATIONS OFFICER
Credential: LNHA
Phone: 516-855-5504