803 SOUTH MAIN STREET OPCO LLC
NPI 1376351239
Skilled Nursing Facility in Woodstock, VA

Active since December 24, 2024CLIA 49D1015694 · Waiver
803 S MAIN ST, WOODSTOCK, VA 22664(540) 459-5676(540) 459-5490 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2025, Feb 28, 2025, Dec 24, 2024 (3 updates tracked since 2024).

About 803 South Main Street Opco Llc NPPES

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

803 SOUTH MAIN STREET OPCO LLC (NPI 1376351239), doing business as Woodstock Valley Health & Rehabilitation, is a healthcare organization registered as a skilled nursing facility in Woodstock, Virginia and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Tiffany Hoback, Manager, as its authorized official.

NPPES Registry Identity

NPI1376351239
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name803 SOUTH MAIN STREET OPCO LLC
Location Address803 S MAIN STWoodstock, VA 22664-1125
Mailing Address803 S Main StWoodstock, VA 22664-1125 · (540) 459-5676 · Fax (540) 459-5490
Fax(540) 459-5490
Organization SubpartNo
Authorized OfficialTiffany HobackManager · (770) 698-9040
Enumeration DateDecember 24, 2024
Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1376351239 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.
803 S MAIN ST, Woodstock, VA 22664

Other Names 1

Doing Business AsWoodstock Valley Health & Rehabilitation

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 49D1015694

803 South Main Street Opco LLC · Woodstock, VA
Active · expires Aug 11, 2027
CLIA Number49D1015694
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorTroy A. Snyder
Laboratory Phone(540) 459-5676
Laboratory Location803 South Main Street Opco LLC803 S Main Street, Woodstock, VA 22664
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 20

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

Occupational Therapist
803 S MAIN ST
WOODSTOCK, VA 22664
Skilled Nursing Facility
803 S MAIN ST
WOODSTOCK, VA 22664
Physical Therapy Assistant
803 S MAIN ST
WOODSTOCK, VA 22664
Physical Therapy Assistant
803 S MAIN ST
WOODSTOCK, VA 22664
Nurse Practitioner
803 S MAIN ST
WOODSTOCK, VA 22664
Physical Therapy Assistant
803 S MAIN ST
WOODSTOCK, VA 22664
Physical Therapist
803 S MAIN ST
WOODSTOCK, VA 22664
Physical Therapy Assistant
803 S MAIN ST
WOODSTOCK, VA 22664

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 803 South Main Street Opco LLC's NPI number?

The NPI number for 803 South Main Street Opco LLC is 1376351239. It was assigned to this organization in the NPPES registry on December 24, 2024. The provider is doing business as Woodstock Valley Health & Rehabilitation.

Where is 803 South Main Street Opco LLC located?

803 South Main Street Opco LLC is located at 803 S Main St, Woodstock, VA 22664. The listed phone number is (540) 459-5676.

What is 803 South Main Street Opco LLC's specialty?

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

Does 803 South Main Street Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1015694) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 803 South Main Street 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 16 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.