NORTHERN NECK SENIOR CARE COMMUNITY
NPI 1093318487
Skilled Nursing Facility in Warsaw, VA

Active since November 18, 2020CLIA 49D1004962 · Waiver
20 DELFAE DR, WARSAW, VA 22572(804) 313-2400 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2021, Nov 18, 2020 (2 updates tracked since 2020).

About Northern Neck Senior Care Community NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN NECK SENIOR CARE COMMUNITY (NPI 1093318487) is a healthcare organization registered as a skilled nursing facility in Warsaw, Virginia and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through October 9, 2026 and lists Shimon Idels, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1093318487
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWARSAW SNF OPERATIONS LLC
Location Address20 DELFAE DRWarsaw, VA 22572-4281
Mailing Address1195 Railroad AveHewlett, NY 11557-2316 · (516) 855-5504
Organization SubpartNo
Authorized OfficialShimon IdelsChief Operations Officer · (516) 855-5504
Enumeration DateNovember 18, 2020
Last NPPES UpdateFebruary 22, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
NPI 1093318487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
20 DELFAE DR, Warsaw, VA 22572

Other Names 1

Doing Business AsNorthern Neck Senior Care Community

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 49D1004962

Northern Neck Senior Care Community · Warsaw, VA
Active · expires Oct 9, 2026
CLIA Number49D1004962
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorKayla D. Cook
Laboratory Phone(804) 313-2400
Laboratory LocationNorthern Neck Senior Care Community20 Delfae Drive, Warsaw, VA 22572
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
20 DELFAE DR
WARSAW, VA 22572
Nurse Practitioner
20 DELFAE DR
WARSAW, VA 22572
Skilled Nursing Facility
20 DELFAE DR
WARSAW, VA 22572
Assisted Living Facility
20 DELFAE DR
WARSAW, VA 22572
Student in an Organized Health Care Education/Training Program
20 DELFAE DR
WARSAW, VA 22572

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 Warsaw Snf Operations LLC's NPI number?

The NPI number for Warsaw Snf Operations LLC is 1093318487. It was assigned to this organization in the NPPES registry on November 18, 2020. The provider is doing business as Northern Neck Senior Care Community.

Where is Warsaw Snf Operations LLC located?

Warsaw Snf Operations LLC is located at 20 Delfae Dr, Warsaw, VA 22572. The listed phone number is (804) 313-2400.

What is Warsaw Snf Operations LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Warsaw Snf Operations LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1004962) is associated with this NPI, valid through October 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Warsaw Snf Operations LLC was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.