Provider Demographics
NPI:1043985757
Name:JAMES RIVER HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:JAMES RIVER HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRMO
Authorized Official - Prefix:
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-272-3300
Mailing Address - Street 1:9100 ARBORETUM PKWY STE 290
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-3494
Mailing Address - Country:US
Mailing Address - Phone:804-272-3300
Mailing Address - Fax:
Practice Address - Street 1:3831 OLD FOREST RD STE 3
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-6947
Practice Address - Country:US
Practice Address - Phone:804-272-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1043985757Medicaid