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Contact Information

VIRGINIA HALL NURSING HOME
2715 ALBERT L BICKNELL DR
SHREVEPORT, LA71103-3925
 Phone: 318-212-8200
 Fax: 318-212-8220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for VIRGINIA HALL NURSING HOME

NPI Number 1730124488
LBN Legal business name VIRGINIA HALL NURSING HOME
Authorized official RICHARD BOYTER - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2006
Last updated 12/01/2008 - About 18 years ago
Identifiers
LA License # 284
LA Medicaid 1516597
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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