Provider Demographics
NPI:1376995050
Name:NEW CENTURY HOSPICE OF RICHMOND, LLC
Entity Type:Organization
Organization Name:NEW CENTURY HOSPICE OF RICHMOND, LLC
Other - Org Name:KINDRED HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF LEGAL AFFAIRS
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-662-0414
Mailing Address - Street 1:655 BRAWLEY SCHOOL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9125
Mailing Address - Country:US
Mailing Address - Phone:704-664-2876
Mailing Address - Fax:704-664-1306
Practice Address - Street 1:201 N MAIN ST
Practice Address - Street 2:STE 300
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-1300
Practice Address - Country:US
Practice Address - Phone:434-395-1042
Practice Address - Fax:434-395-1224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA491602Medicare Oscar/Certification