Provider Demographics
NPI:1710256920
Name:ABINGDON HEALTH CARE LLC
Entity Type:Organization
Organization Name:ABINGDON HEALTH CARE LLC
Other - Org Name:ABINGDON HEALTH & REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:ALESANTRINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-725-8910
Mailing Address - Street 1:5372 FALLOWATER LN STE 200
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0909
Mailing Address - Country:US
Mailing Address - Phone:540-725-8910
Mailing Address - Fax:540-725-8914
Practice Address - Street 1:15051 HARMONY HILLS LN
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-7661
Practice Address - Country:US
Practice Address - Phone:276-451-2590
Practice Address - Fax:276-477-5633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
476315OtherANTHEM MEDI-GAP
VA1710256920Medicaid
495409Medicare UPIN