400 SOUTH INDEPENDENCE AVENUE OPCO LLC
NPI 1033927074
Skilled Nursing Facility in Independence, VA
About 400 South Independence Avenue Opco Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
400 SOUTH INDEPENDENCE AVENUE OPCO LLC (NPI 1033927074), doing business as Grayson Health And Rehabilitation, is a healthcare organization registered as a skilled nursing facility in Independence, Virginia and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Tiffany Hoback, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 49D0947821
400 South Independence Avenue Opco LLC · Independence, VAOther Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDEPENDENCE, VA 24348
INDEPENDENCE, VA 24348
INDEPENDENCE, VA 24348
INDEPENDENCE, VA 24348
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is 400 South Independence Avenue Opco LLC's NPI number?
The NPI number for 400 South Independence Avenue Opco LLC is 1033927074. It was assigned to this organization in the NPPES registry on December 23, 2024. The provider is doing business as Grayson Health and Rehabilitation.
Where is 400 South Independence Avenue Opco LLC located?
400 South Independence Avenue Opco LLC is located at 400 S Independence Ave, Independence, VA 24348. The listed phone number is (276) 773-0303.
What is 400 South Independence Avenue Opco LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does 400 South Independence Avenue Opco LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D0947821) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for 400 South Independence Avenue Opco LLC was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.