=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881631943
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SHELTERING ARMS HOSPITAL SOUTH, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/31/2006
-----------------------------------------------------
Last Update Date | 03/23/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13700 SAINT FRANCIS BLVD
-----------------------------------------------------
City | MIDLOTHIAN
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23114-3267
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-342-4358
-----------------------------------------------------
Fax | 804-342-4316
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8254 ATLEE RD
-----------------------------------------------------
City | MECHANICSVILLE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23116-1844
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-342-4358
-----------------------------------------------------
Fax | 804-342-4316
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT AND CEO
-----------------------------------------------------
Name | MARY ZWEIFEL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 804-342-4325
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 283X00000X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Hospital
-----------------------------------------------------
License Number | H1927
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------