MEDICARE: JONES & CABACOY VETERANS CARE CENTER

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

General Provider Information

NPI Number	:	1932839800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JONES & CABACOY VETERANS CARE CENTER

Provider Business Mailing Address
First Line	:	2641 NIMMO PKWY
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-9134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2641 NIMMO PKWY
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-9134
Country	:	US
Telephone Number	:	434-420-9810
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	PATRICK SHULER
Credential	:	NHA, EDD
Telephone Number	:	434-420-9810

Provider Enumeration Date	:	06/14/2022
Last Update Date	:	06/14/2022

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