Provider Demographics
NPI:1477611036
Name:ROSTOV ENTERPRISES INC.
Entity Type:Organization
Organization Name:ROSTOV ENTERPRISES INC.
Other - Org Name:AMRAMP HAMPTON ROADS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:HEILIG
Authorized Official - Last Name:ROSTOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-407-6222
Mailing Address - Street 1:7334 RUTHVEN RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-3353
Mailing Address - Country:US
Mailing Address - Phone:757-407-6222
Mailing Address - Fax:757-395-4379
Practice Address - Street 1:7334 RUTHVEN RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-3353
Practice Address - Country:US
Practice Address - Phone:757-407-6222
Practice Address - Fax:757-395-4379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies