Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Masonic Home of Virginia

Organization Nursing Facility/Intermediate Care Facility · NPI 1558677658

Masonic Home of Virginia is a Nursing Facility/Intermediate Care Facility in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2010.

Licensed in
VA
In the registry since
2010

Practice location Address checks out

4101 Nine Mile Rd
Richmond, VA 23223-4956
Phone: (804) 222-1694
Fax: (804) 226-4567
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence NH2628 (VA)

Record details

NPI number1558677658
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Cole — Ceo · (804) 222-1694
NPI enumeratedAugust 26, 2010
Last updated in NPPESAugust 26, 2010
Mailing address4101 Nine Mile Rd, Richmond, VA 23223-4956

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