# HEALTHLINK OF VIRGINIA SHORES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beacon Shores Nursing & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689616351
- **Authorized official:** MR. THOMAS D JOHNSON (PRESIDENT)
- **Authorized official phone:** (423) 478-5953

## Contact information

- **Practice address:** 340 LYNN SHORES DR, VIRGINIA BEACH, VA 23452-2416
- **Practice address phone:** (757) 340-6611
- **Practice address fax:** (757) 463-4147
- **Mailing address:** 340 LYNN SHORES DR, VIRGINIA BEACH, VA 23452-2416
- **Mailing address phone:** (757) 340-6611
- **Mailing address fax:** (757) 463-4147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2616 | VA | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 11/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004951506 | — | VA |