ASHLAND CONVALESCENT CENTER, INC — NPI 1700882115 (Licensed & Credentialed Alzheimer Center (Dementia Center) in ASHLAND, VA)

CMS-1500 Box 24J / 33a • NPI

1700882115

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

311500000X

Licensed & Credentialed Alzheimer Center (Dementia Center)

Box 32 Service Location & ZIP+4

906 THOMPSON ST, ASHLAND, VA, 23005-1128

✓ 9-Digit EDI 837 ZIP+4 (23005-1128)

Practice Phone & Referral Fax

(804) 798-3291

Fax: (804) 752-4916

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1700882115 (ASHLAND CONVALESCENT CENTER, INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1700882115` (NPI-2 Organization / Facility)
Provider / Legal Name	ASHLAND CONVALESCENT CENTER, INC
Plain-English Specialty	Licensed & Credentialed Alzheimer Center (Dementia Center) NUCC Code: `311500000X` (Alzheimer Center (Dementia Center))
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	906 THOMPSON ST, ASHLAND, VA, 23005-1128
Practice Telephone / Fax	Tel: (804) 798-3291 \| Fax: (804) 752-4916
Administrative Mailing Address	906 THOMPSON ST, ASHLAND, VA, 23005-1128
Enumeration & Last Sync	Enumerated: 2005-06-22 \| CMS Record Updated: 2025-09-11
Authorized Official	RICHARD SHELLEY (Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

906 THOMPSON ST, ASHLAND, VA, 23005-1128

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Plain-English Taxonomy & CMS Crosswalk (311500000X)

What Does Taxonomy Code 311500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 311500000X translates to:
"Licensed & Credentialed Alzheimer Center (Dementia Center)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Alzheimer Center (Dementia Center) for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ASHLAND CONVALESCENT CENTER, INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`314000000X` — Skilled Nursing Facility Plain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)	State: VA \| License: `NH2482` \| Primary: Secondary
`311500000X` — Alzheimer Center (Dementia Center) Plain English: Licensed & Credentialed Alzheimer Center (Dementia Center)	State: VA \| License: `NH2482` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ASHLAND CONVALESCENT CENTER, INC (NPI #1700882115)