HERITAGE HALL - BLACKSTONE
NPI 1215429386
Skilled Nursing Facility in Blackstone, VA

Active since June 04, 2018CLIA 49D0683129 · Waiver
900 S MAIN ST, BLACKSTONE, VA 23824(434) 292-5301(434) 292-6041 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heritage Hall - Blackstone NPPES

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

HERITAGE HALL - BLACKSTONE (NPI 1215429386) is a healthcare organization registered as a skilled nursing facility in Blackstone, Virginia and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Cassandra Gallant, Compliance & Privacy Officer, as its authorized official.

NPPES Registry Identity

NPI1215429386
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBLACKSTONE LIFE CARE, LLC
Location Address900 S MAIN STBlackstone, VA 23824-2644
Mailing Address900 S Main StBlackstone, VA 23824-2644 · (434) 292-5301 · Fax (434) 292-6041
Fax(434) 292-6041
Organization SubpartNo
Authorized OfficialCassandra GallantCompliance & Privacy Officer · (540) 774-4263
Enumeration DateJune 4, 2018
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
NPI 1215429386 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.
900 S MAIN ST, Blackstone, VA 23824

Other Names 1

Doing Business AsHeritage Hall - Blackstone

Other Identifiers 3

Medicaid4953533VA
Other200515603Federal Black Lung
Other180505Anthem Bcbs

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 49D0683129

Heritage Hall - Blackstone · Blackstone, VA
Active · expires Aug 31, 2026
CLIA Number49D0683129
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGreg Ashley
Laboratory Phone(434) 292-5301
Laboratory LocationHeritage Hall - Blackstone900 South Main Street, Blackstone, VA 23824
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 2

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

Nurse Practitioner (Family)
900 S MAIN ST
BLACKSTONE, VA 23824
Skilled Nursing Facility
900 S MAIN ST
BLACKSTONE, VA 23824

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 Blackstone Life Care, LLC's NPI number?

The NPI number for Blackstone Life Care, LLC is 1215429386. It was assigned to this organization in the NPPES registry on June 4, 2018. The provider is doing business as Heritage Hall - Blackstone.

Where is Blackstone Life Care, LLC located?

Blackstone Life Care, LLC is located at 900 S Main St, Blackstone, VA 23824. The listed phone number is (434) 292-5301.

What is Blackstone Life Care, LLC's specialty?

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

Does Blackstone Life Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0683129) is associated with this NPI, valid through August 31, 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 Blackstone Life Care, LLC was last updated on November 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.