# BON SECOURS DEPAUL MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Transitional Care Center at DePaul Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023028107
- **Authorized official:** KAREN REICH (CEO)
- **Authorized official phone:** (727) 568-1016

## Contact information

- **Practice address:** 150 KINGSLEY LN, NORFOLK, VA 23505-4602
- **Practice address phone:** (757) 889-3200
- **Practice address fax:** (757) 889-3288
- **Mailing address:** 8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
- **Mailing address phone:** (804) 627-5573
- **Mailing address fax:** (866) 449-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | H 1829 | VA | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 05/20/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4953461 | — | VA |