Provider Demographics
NPI:1265472286
Name:RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA
Entity type:Organization
Organization Name:RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-243-9308
Mailing Address - Street 1:2205 FONTAINE AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-2976
Mailing Address - Country:US
Mailing Address - Phone:434-984-2273
Mailing Address - Fax:434-984-4250
Practice Address - Street 1:2205 FONTAINE AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-2976
Practice Address - Country:US
Practice Address - Phone:434-297-7555
Practice Address - Fax:434-297-4598
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-07
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4971132Medicaid
VA100545OtherANTHEM HOME HEALTH
VA4971132Medicaid