Provider Demographics
NPI:1811490535
Name:ROCKBRIDGE AREA HOSPICE, INC
Entity type:Organization
Organization Name:ROCKBRIDGE AREA HOSPICE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:SYLVEST
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:540-463-1848
Mailing Address - Street 1:315 MYERS ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-2040
Mailing Address - Country:US
Mailing Address - Phone:540-463-1848
Mailing Address - Fax:540-463-3175
Practice Address - Street 1:315 MYERS ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2040
Practice Address - Country:US
Practice Address - Phone:540-463-1848
Practice Address - Fax:540-463-3175
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROCKBRIDGE AREA HOSPICE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-09
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1811490535Medicaid