Provider Demographics
NPI:1821332453
Name:THE VILLAGE AT ORCHARD RIDGE, INC.
Entity Type:Organization
Organization Name:THE VILLAGE AT ORCHARD RIDGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:301-354-2714
Mailing Address - Street 1:320 WESTSIDE STATION DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2839
Mailing Address - Country:US
Mailing Address - Phone:540-723-0853
Mailing Address - Fax:540-723-0858
Practice Address - Street 1:320 WESTSIDE STATION DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2839
Practice Address - Country:US
Practice Address - Phone:540-723-0853
Practice Address - Fax:540-723-0858
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL LUTHERAN HOME FOR THE AGED, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility