Provider Demographics
NPI:1356456644
Name:FRANCIS N. SANDERS NURSING HOME, INC
Entity Type:Organization
Organization Name:FRANCIS N. SANDERS NURSING HOME, INC
Other - Org Name:SANDERS, A SENIOR LIVING COMMUNITY FROM RIVERSIDE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:W
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-875-7846
Mailing Address - Street 1:608 DENBIGH BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-4410
Mailing Address - Country:US
Mailing Address - Phone:757-875-2023
Mailing Address - Fax:757-875-2016
Practice Address - Street 1:7385 WALKER AVE
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-6100
Practice Address - Country:US
Practice Address - Phone:804-693-2000
Practice Address - Fax:804-693-6144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
310400000X
VANH2555313M00000X, 314000000X, 332BN1400X, 332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA182739OtherBC BS PROVIDER ID
VA0903500001Medicare NSC
VA182739OtherBC BS PROVIDER ID