OLD SOUTHWEST HEALTH AND REHABILITATION
NPI 1750094033
Skilled Nursing Facility in Roanoke, VA

Active since January 02, 2023CLIA 49D0890659 · Waiver
324 KING GEORGE AVE SW, ROANOKE, VA 24016(540) 345-8139 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, Jan 2, 2023 (2 updates tracked since 2023).

About Old Southwest Health And Rehabilitation NPPES

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

OLD SOUTHWEST HEALTH AND REHABILITATION (NPI 1750094033) is a healthcare organization registered as a skilled nursing facility in Roanoke, Virginia and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through September 14, 2026 and lists Akiva Shapiro, Coo, as its authorized official.

NPPES Registry Identity

NPI1750094033
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameOLD SOUTHWEST HEALTH AND REHABILITATION LLC
Location Address324 KING GEORGE AVE SWRoanoke, VA 24016-5213
Mailing Address324 King George Ave SwRoanoke, VA 24016-5213 · (540) 345-8139
Organization SubpartNo
Authorized OfficialAkiva ShapiroCoo · (201) 581-6622
Enumeration DateJanuary 2, 2023
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
NPI 1750094033 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.
324 KING GEORGE AVE SW, Roanoke, VA 24016

Other Names 1

Doing Business AsOld Southwest Health And 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 49D0890659

Old Southwest Health And Rehabilitation LLC · Roanoke, VA
Active · expires Sep 14, 2026
CLIA Number49D0890659
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorMazen Madhoun
Laboratory Phone(540) 345-8139
Laboratory LocationOld Southwest Health And Rehabilitation LLC324 King George Ave SW, Roanoke, VA 24016
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 7

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

Skilled Nursing Facility
324 KING GEORGE AVE SW
ROANOKE, VA 24016
General Practice
324 KING GEORGE AVE SW
ROANOKE, VA 24016
Skilled Nursing Facility
324 KING GEORGE AVE SW
ROANOKE, VA 24016
Skilled Nursing Facility
324 KING GEORGE AVE SW
ROANOKE, VA 24016
Family Medicine
324 KING GEORGE AVE SW
ROANOKE, VA 24016
Physical Therapist
324 KING GEORGE AVE SW
ROANOKE, VA 24016
Skilled Nursing Facility
324 KING GEORGE AVE SW
ROANOKE, VA 24016

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 Old Southwest Health And Rehabilitation LLC's NPI number?

The NPI number for Old Southwest Health And Rehabilitation LLC is 1750094033. It was assigned to this organization in the NPPES registry on January 2, 2023. The provider is doing business as Old Southwest Health And Rehabilitation.

Where is Old Southwest Health And Rehabilitation LLC located?

Old Southwest Health And Rehabilitation LLC is located at 324 King George Ave SW, Roanoke, VA 24016. The listed phone number is (540) 345-8139.

What is Old Southwest Health And Rehabilitation LLC's specialty?

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

Does Old Southwest Health And Rehabilitation LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0890659) is associated with this NPI, valid through September 14, 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 Old Southwest Health And Rehabilitation 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.