1811 Jamestown Road Opco LLC
NPI 1205644150ActiveOrganization· Skilled Nursing Facility· Williamsburg, VA
Skilled Nursing Facility in Williamsburg, Virginia, registered in NPPES in December 2024. The authorized official on file is Tiffany Hoback, Manager. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1205644150 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 24, 2024 |
| Last updated in NPPES | Feb 28, 2025 |
| Certified by provider | Feb 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (VA) |
|---|
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