# BERRY HILL NURSING HOME, INC.

> 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:** BERRY HILL NURSING HOME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649215252
- **Authorized official:** MRS. GALE BOICE (CFO)
- **Authorized official phone:** (252) 523-9094

## Contact information

- **Practice address:** 621 BERRY HILL RD, SOUTH BOSTON, VA 24592-2207
- **Practice address phone:** (434) 572-8901
- **Practice address fax:** (434) 572-8904
- **Mailing address:** PO BOX 779, SOUTH BOSTON, VA 24592-0779
- **Mailing address phone:** (434) 572-8901
- **Mailing address fax:** (434) 572-8904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2502 | VA | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 07/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 323121 | BC/BS OF NC | VA |
| 05 | — | 4953185 | — | VA |