# SP WILLIAMSBURG, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Tandem Health Care at Williamsburg
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073555785
- **Authorized official:** JOSEPH CONTE (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (407) 571-1550

## Contact information

- **Practice address:** 1811 JAMESTOWN RD, WILLIAMSBURG, VA 23185-2326
- **Practice address phone:** (757) 229-9991
- **Practice address fax:** (757) 229-9509
- **Mailing address:** 800 CONCOURSE PKWY S, SUITE 200, MAITLAND, FL 32751-6148
- **Mailing address phone:** (407) 571-1550
- **Mailing address fax:** (407) 571-1599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2742 | VA | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4959906 | — | VA |