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Contact Information

BLACKSTONE LIFE CARE, LLC
900 S MAIN ST
BLACKSTONE, VA23824
 Phone: 434-292-5301
 Fax: 434-292-6041
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for BLACKSTONE LIFE CARE, LLC

NPI # 1326038720
LBN Legal business name BLACKSTONE LIFE CARE, LLC
Authorized official CASSANDRA GALLANT - (COMPLIANCE & PRIVACY OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2005
Last updated 11/25/2024 - More than a year ago
Identifiers
VA License # NH2570
VA Medicaid 4953533
VA Other 180505 ANTHEM BCBS PROVIDER ID
VA Other 200515603 FEDERAL BLACK LUNG ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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