National Provider Identifier Database

WISE LIFE CARE LLC
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.


Contact Information

WISE LIFE CARE, LLC
9434 COEBURN MOUNTAIN RD
WISE, VA24293
Phone: 276-328-2721
Fax: 276-328-1463
Website:
Specialty Taxonomy Code
* Skilled Nursing Facility 314000000X

* Indicates primary specialty

NPI Profile & details for WISE LIFE CARE, LLC

NPI Number 1477543890
Legal business name
LBN
WISE LIFE CARE, LLC
Authorized official CASSANDRA GALLANT - (COMPLIANCE & PRIVACY OFFICER)
Entity Organization
Organization subpart No
Enumeration date 10/26/2005
Last updated 11/25/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: NH2583
  • VA Medicaid: 4953509
  • VA Other: 180512 ANTHEM BCBS PROVIDER ID
  • VA Other: 200515608 FEDERAL BLACK LUNG ID

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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