Organization
HOSPITAL AUTHORITY OF NORFOLK
Active
Other names
Lake Taylor Transitional Care Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J ORSINI NHA (PRESIDENT & CEO)
(757) 461-5001
Entity
Organization
Contact information
Practice address
1309 KEMPSVILLE RD, NORFOLK, VA 23502-2205
(757) 461-5001
(757) 461-4282
Mailing address
1309 KEMPSVILLE RD, NORFOLK, VA 23502-2205
(757) 461-5001
(757) 461-4282
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
H1865
VA
314000000X
Skilled Nursing Facility
Primary
H1865
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010294
BLUE CROSS
VA
01
—
215401
BLUE CROSS - SNF
VA
05
—
4951174
—
VA
Enumeration date
04/06/2006
Last updated
04/18/2008
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