Provider Demographics
NPI:1194097246
Name:CARRIAGE HILL RETIREMENT, LLC.
Entity type:Organization
Organization Name:CARRIAGE HILL RETIREMENT, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:THAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-586-5982
Mailing Address - Street 1:1203 ROUNDTREE DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24523-2431
Mailing Address - Country:US
Mailing Address - Phone:540-586-5982
Mailing Address - Fax:540-586-7334
Practice Address - Street 1:1203 ROUNDTREE DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-2431
Practice Address - Country:US
Practice Address - Phone:540-586-5982
Practice Address - Fax:540-586-7334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1104146310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility