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MOUNTAIN LAUREL REHABILITATION AND NURSING
NPI 1487367769
Skilled Nursing Facility in Rural Retreat, VA

Active since January 02, 2023CLIA 49D2086931 · Waiver
514 N MAIN ST, RURAL RETREAT, VA 24368(276) 686-7000 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2024, Mar 9, 2023, Jan 2, 2023 (3 updates tracked since 2023).

About Mountain Laurel Rehabilitation And Nursing NPPES

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

MOUNTAIN LAUREL REHABILITATION AND NURSING (NPI 1487367769) is a healthcare organization registered as a skilled nursing facility in Rural Retreat, Virginia and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Akiva Shapiro, Coo, as its authorized official.

NPPES Registry Identity

NPI1487367769
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWYTHE VA OPCO LLC
Location Address514 N MAIN STRural Retreat, VA 24368-3123
Mailing Address514 N Main StRural Retreat, VA 24368-3123 · (276) 686-7000
Phone(276) 686-7000
Organization SubpartNo
Authorized OfficialAkiva ShapiroCoo · (201) 581-6622
Enumeration DateJanuary 2, 2023
Last NPPES UpdateMarch 4, 20243 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1487367769 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.
514 N MAIN ST, Rural Retreat, VA 24368
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Other Names 1

Doing Business AsMountain Laurel Rehabilitation And Nursing

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 49D2086931

Wythe VA Opco LLC Dba Mountain Laurel Rehabilitation And Nursing · Rural Retreat, VA
Active · expires Nov 13, 2026
CLIA Number49D2086931
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorAlfonso Brochero
Laboratory Phone(276) 686-7000
Laboratory LocationWythe VA Opco LLC Dba Mountain Laurel Rehabilitation And Nursing514 North Main Street, Rural Retreat, VA 24368
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 4

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

RURAL RETREAT CARE CENTER, LLC
Skilled Nursing Facility
514 N MAIN ST
RURAL RETREAT, VA 24368
Wythe County (516) 852-1934
MEGAN LEA OSBORNE FNP-C
Nurse Practitioner (Family)
514 N MAIN ST
RURAL RETREAT, VA 24368
Wythe County (540) 769-3964
ADVANCE PRACTICE GERIATRICS AND WOUND SPECIALIST, LLC
Nurse Practitioner (Gerontology)
514 N MAIN ST
RURAL RETREAT, VA 24368
Wythe County (276) 783-1827
MIRANDA PAIGE DAVIDSON
Occupational Therapy Assistant
514 N MAIN ST
RURAL RETREAT, VA 24368
Wythe County (276) 686-7000

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 Wythe VA Opco LLC's NPI number?

The NPI number for Wythe VA Opco LLC is 1487367769. It was assigned to this organization in the NPPES registry on January 2, 2023. The provider is doing business as Mountain Laurel Rehabilitation And Nursing.

Where is Wythe VA Opco LLC located?

Wythe VA Opco LLC is located at 514 N Main St, Rural Retreat, VA 24368. The listed phone number is (276) 686-7000.

What is Wythe VA Opco LLC's specialty?

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

Does Wythe VA Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2086931) is associated with this NPI, valid through November 13, 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 Wythe VA Opco LLC was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.