# VIRGINIA LUTHERAN HOMES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brandon Oaks Nursing & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295770162
- **Authorized official:** MICHAEL BIRD (CFO)
- **Authorized official phone:** (540) 562-5443

## Contact information

- **Practice address:** 3837 BRANDON AVE SW, ROANOKE, VA 24018-1441
- **Practice address phone:** (540) 776-2616
- **Practice address fax:** (540) 777-0037
- **Mailing address:** 3807 BRANDON AVE SW STE 2440, ROANOKE, VA 24018-1477
- **Mailing address phone:** (540) 562-5443
- **Mailing address fax:** (540) 562-5465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1701001951 | VA | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 02/04/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 182829 | ANTHEM BC/BS | VA |
| 05 | — | 4966279 | — | VA |