Provider Demographics
NPI:1669432951
Name:THE VIRGINIA HOME
Entity type:Organization
Organization Name:THE VIRGINIA HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SILVEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:804-359-4093
Mailing Address - Street 1:1101 HAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-6605
Mailing Address - Country:US
Mailing Address - Phone:804-359-4093
Mailing Address - Fax:804-359-8961
Practice Address - Street 1:1101 HAMPTON ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-6605
Practice Address - Country:US
Practice Address - Phone:804-359-4093
Practice Address - Fax:804-359-8961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VANH2710313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility