Provider Demographics
NPI:1538108998
Name:SHELTERING ARMS HOSPITAL
Entity Type:Organization
Organization Name:SHELTERING ARMS HOSPITAL
Other - Org Name:SHELTERING ARMS REHABILITATION HOSPTIAL
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZWEIFEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-342-4325
Mailing Address - Street 1:8254 ATLEE RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-1844
Mailing Address - Country:US
Mailing Address - Phone:804-342-4358
Mailing Address - Fax:804-342-4316
Practice Address - Street 1:8254 ATLEE RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-1844
Practice Address - Country:US
Practice Address - Phone:804-342-4358
Practice Address - Fax:804-342-4316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAH1899283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6562113OtherAETNA
VA67900OtherOPTIMA INPATIENT
VA0719271OtherCIGNA
VA220582OtherMAMSI
VAC01772OtherGROUP MEDICARE NUMBER
VA37467OtherOPTIMA OUTPATIENT
VAC06541OtherGROUP MEDICARE NUMBER
VA004930002Medicaid
VA258472OtherSOUTHERN HEALTH
VA31864OtherCARENET
VA000121OtherANTHEM
VACE3017OtherGROUP MEDICARE NUMBER
VA493025Medicare ID - Type Unspecified