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.
Organization
BLACKSTONE LIFE CARE, LLC
Active
Organization
BLACKSTONE LIFE CARE, LLC
Active
Other names
Heritage Hall - Blackstone
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA GALLANT (COMPLIANCE & PRIVACY OFFICER)
(540) 774-4263
Entity
Organization
Contact information
Practice address
900 S MAIN ST, BLACKSTONE, VA 23824-2644
(434) 292-5301
(434) 292-6041
Mailing address
900 S MAIN ST, BLACKSTONE, VA 23824-2644
(434) 292-5301
(434) 292-6041
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180505
ANTHEM BCBS
—
01
—
200515603
FEDERAL BLACK LUNG
—
05
—
4953533
—
VA
Enumeration date
06/04/2018
Last updated
11/25/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers