Provider Demographics
NPI:1275041600
Name:NORFOLK AREA SENIOR CARE LLC
Entity Type:Organization
Organization Name:NORFOLK AREA SENIOR CARE LLC
Other - Org Name:GREENBRIER REGIONAL MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FISK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-499-5224
Mailing Address - Street 1:24641 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-5007
Mailing Address - Country:US
Mailing Address - Phone:727-499-5224
Mailing Address - Fax:727-499-5224
Practice Address - Street 1:1017 GEORGE WASHINGTON HWY N
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-3505
Practice Address - Country:US
Practice Address - Phone:757-485-5000
Practice Address - Fax:757-485-3414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility