MEDICARE: FOREST HILL CONVALESCENT CENTER, LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	NH2553	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861416349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOREST HILL CONVALESCENT CENTER, LP

Provider Business Mailing Address
First Line	:	4403 FOREST HILL AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-3241
Country	:	US
Telephone Number	:	804-231-0231
Fax Number	:	804-232-4215

Provider Business Practice Location Address
First Line	:	4403 FOREST HILL AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-3241
Country	:	US
Telephone Number	:	804-231-0231
Fax Number	:	804-232-4215

Authorized Official
Title or Position	:	CEO
Name	:	MR. EAMONN DENNIS REILLY
Credential	:
Telephone Number	:	410-715-8900

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	06/25/2008

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