HERITAGE HALL - CLINTWOOD
NPI 1437641446
Skilled Nursing Facility in Clintwood, VA

Active since June 05, 2018CLIA 49D0698357 · Waiver
1225 CLINTWOOD MAIN ST, CLINTWOOD, VA 24228(276) 926-4693(276) 926-9128 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 - Clintwood NPPES

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

HERITAGE HALL - CLINTWOOD (NPI 1437641446) is a healthcare organization registered as a skilled nursing facility in Clintwood, 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

NPI1437641446
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCLINTWOOD LIFE CARE, LLC
Location Address1225 CLINTWOOD MAIN STClintwood, VA 24228-7221
Mailing Address1225 Clintwood Main StClintwood, VA 24228-7221 · (276) 926-4693 · Fax (276) 926-9128
Fax(276) 926-9128
Organization SubpartNo
Authorized OfficialCassandra GallantCompliance & Privacy Officer · (540) 774-4263
Enumeration DateJune 5, 2018
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
NPI 1437641446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in VA · NH2573
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.

1225 CLINTWOOD MAIN ST, Clintwood, VA 24228

Other Names 1

Doing Business AsHeritage Hall - Clintwood

Other Identifiers 3

Medicaid4953207VA
Other200515606Federal Black Lung
Other177351Anthem 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 49D0698357

Clintwood Life Care LLC Dba Heritage Hall - Clintwood · Clintwood, VA
Active · expires Aug 31, 2026
CLIA Number49D0698357
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAmanda J. Brooks
Laboratory Phone(276) 926-4693
Laboratory LocationClintwood Life Care LLC Dba Heritage Hall - Clintwood1225 Clintwood Main Street, Clintwood, VA 24228
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.

Skilled Nursing Facility
1225 CLINTWOOD MAIN ST
CLINTWOOD, VA 24228
Nurse Practitioner (Family)
1225 CLINTWOOD MAIN ST
CLINTWOOD, VA 24228

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 Clintwood Life Care, LLC's NPI number?

The NPI number for Clintwood Life Care, LLC is 1437641446. It was assigned to this organization in the NPPES registry on June 5, 2018. The provider is doing business as Heritage Hall - Clintwood.

Where is Clintwood Life Care, LLC located?

Clintwood Life Care, LLC is located at 1225 Clintwood Main St, Clintwood, VA 24228. The listed phone number is (276) 926-4693.

What is Clintwood Life Care, LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 49D0698357) 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 Clintwood Life Care, LLC was last updated on November 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.