Provider Demographics
NPI:1093489726
Name:RCH ADVANCED PRACTICE SERVICES LLC
Entity Type:Organization
Organization Name:RCH ADVANCED PRACTICE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIMBUCH
Authorized Official - Suffix:
Authorized Official - Credentials:APN-BC
Authorized Official - Phone:732-773-8540
Mailing Address - Street 1:22 FLORIAN CT
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:08759-6278
Mailing Address - Country:US
Mailing Address - Phone:732-773-8540
Mailing Address - Fax:732-377-5440
Practice Address - Street 1:22 FLORIAN CT
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NJ
Practice Address - Zip Code:08759-6278
Practice Address - Country:US
Practice Address - Phone:732-773-8540
Practice Address - Fax:732-377-5440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty