# ELDERCARE OF JACKSON COUNTY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VANGUARD HEALTHCARE, LLC
- **Other names:** Eldercare Health and Rehabilitation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689653081
- **Legal business name:** VANGUARD HEALTHCARE, LLC
- **Authorized official:** MR. WILLIAM D. ORAND (CEO)
- **Authorized official phone:** (615) 250-7100

## Contact information

- **Practice address:** 107 MILLER DR, RIPLEY, WV 25271
- **Practice address phone:** (304) 372-5115
- **Practice address fax:** (304) 372-4113
- **Mailing address:** 9020 OVERLOOK BLVD STE 202, BRENTWOOD, TN 37027-2755
- **Mailing address phone:** (615) 250-7100
- **Mailing address fax:** (615) 250-7102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 73 | WV | Yes |

## Other

- **Enumeration date:** 01/13/2006
- **Last updated:** 05/24/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0003201000 | — | WV |