Clarksville Senior Care, LLC
Skilled Nursing Facility in Clarksville, VA. Organization (NPI-2).
NPI number1619974029
StatusActive
Last updated in NPPESFeb 2, 2015
Details
- NPI
- 1619974029
- Entity type
- Organization (NPI-2)
- Legal business name
- Clarksville Senior Care, LLC
- Organization subpart
- No
- Enumeration date
- Jun 30, 2005
- Last updated
- Feb 2, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | NH2745 | VA | Yes |
Other names
- Sentara Meadowview Terrace (Doing Business As)
Practice location
184 Buffalo RdClarksville, VA 23927
Phone 434-374-4141 · Fax 434-374-4491
Mailing address
Po Box 649South Boston, VA 24592-0649
Phone 434-517-3194 · Fax 434-517-3721
Authorized official
Stewart R. Nelson
Chief Financial Officer
4345173183
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