Organization
LEESBURG LIFE CARE, LLC
Active
Other names
Heritage Hall - Leesburg
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA GALLANT (COMPLIANCE & PRIVACY OFFICER)
(540) 774-4263
Entity
Organization
Contact information
Practice address
122 MORVEN PARK RD NW, LEESBURG, VA 20176-2024
(703) 777-8700
(703) 777-1532
Mailing address
122 MORVEN PARK RD NW, LEESBURG, VA 20176-2024
(703) 777-8700
(703) 777-1532
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180509
ANTHEM BCBS
—
01
—
200515604
FEDERAL BLACK LUNG
—
05
—
4952618
—
VA
Enumeration date
06/04/2018
Last updated
11/25/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us