MEDICARE: SHELTERING ARMS HOSPITAL SOUTH, INC.

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	283X00000X	Rehabilitation Hospital	H1927	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	C09821	OTHER	VA	GROUP MEDICARE NUMBER
8	DF0518	OTHER	VA	GROUP MEDICARE NUMBER

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
2	186000	OTHER	VA	ANTHEM
3	59346	OTHER	VA	CARENET
4	330175	OTHER	VA	SOUTHERN HEALTH
5	7975215	OTHER	VA	CIGNA
7	7908734	OTHER	VA	AETNA
9	10010089	OTHER	VA	OPTIMA

General Provider Information

NPI Number	:	1881631943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHELTERING ARMS HOSPITAL SOUTH, INC.

Provider Business Mailing Address
First Line	:	8254 ATLEE RD
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-1844
Country	:	US
Telephone Number	:	804-342-4358
Fax Number	:	804-342-4316

Provider Business Practice Location Address
First Line	:	13700 SAINT FRANCIS BLVD
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23114-3267
Country	:	US
Telephone Number	:	804-342-4358
Fax Number	:	804-342-4316

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MARY ZWEIFEL
Credential	:
Telephone Number	:	804-342-4325

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	03/23/2016

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