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Contact Information

MIZPAH HEALTHCARE GROUP LLC
74 MIZPAH ROAD
LOCUST HILL, VA23092
 Phone: 804-758-5260
 Fax: 804-758-0953
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for MIZPAH HEALTHCARE GROUP LLC

NPI # 1497135727
LBN Legal business name MIZPAH HEALTHCARE GROUP LLC
Authorized official WILLIAM WEISBERG - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/02/2015
Last updated 01/10/2022 - About 4 years ago
Identifiers
VA License # NH2632
VA Medicaid 1497135727
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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