Provider Demographics
NPI:1245280015
Name:LONGTERM CARE ASSOCIATES INC.
Entity type:Organization
Organization Name:LONGTERM CARE ASSOCIATES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-892-5400
Mailing Address - Street 1:1604 OLD DONATION PKWY
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-3063
Mailing Address - Country:US
Mailing Address - Phone:757-496-7100
Mailing Address - Fax:757-481-1589
Practice Address - Street 1:1604 OLD DONATION PKWY
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3063
Practice Address - Country:US
Practice Address - Phone:757-496-7100
Practice Address - Fax:757-481-1589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VANH2730313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility