AMELIA LIFE CARE, LLC – NPI #1811256787
Clinic/Center

AMELIA LIFE CARE, LLC is an AHC clinic located in AMELIA COURT HOUSE, VA. NPPES has assigned the NPI number 1811256787 to AMELIA LIFE CARE, LLC on May 11, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AMELIA LIFE CARE, LLC” is a dba name, the actual legal business name for this organization is SOUTHERN DOMINION HEALTH SYSTEM, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 11 years ago on Dec 03, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMELIA LIFE CARE, LLC below.

NPI Profile for
SOUTHERN DOMINION HEALTH SYSTEM, INC.

NPI Number
1811256787
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Doing Business As (dba): AMELIA LIFE CARE, LLC
Primary location
8830 VIRGINIA STREET
AMELIA COURT HOUSE, VA 23002
Phone: (434) 696-2165 Fax: (434) 696-1557
Mailing address
PO BOX 70
VICTORIA, VA 23974-0070
Phone: (434) 696-2165 Fax: (434) 696-1557
Organization Subpart
Yes - AMELIA LIFE CARE, LLC is subpart of another organization.
Authorized Official
JILL SEAMANS
CFO
Phone: (434) 696-2165
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.