# BETH SHOLOM HOME OF VIRGINIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beth Sholom Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548292170
- **Authorized official:** MR. JOHN VINCENT BELLOTTI JR. (CFO)
- **Authorized official phone:** (804) 421-5352

## Contact information

- **Practice address:** 1600 JOHN ROLFE PKWY, RICHMOND, VA 23238-8110
- **Practice address phone:** (804) 750-2183
- **Practice address fax:** (804) 750-1078
- **Mailing address:** PO BOX 29331, RICHMOND, VA 23242-0331
- **Mailing address phone:** (804) 750-2183
- **Mailing address fax:** (804) 750-1078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2503 | VA | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 05/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004952910 | — | VA |
| 01 | — | 216278 | ANTHEM PROVIDER \# | VA |