Provider Demographics
NPI:1578114476
Name:RAHCO VIRGINIA BEACH LLC.
Entity Type:Organization
Organization Name:RAHCO VIRGINIA BEACH LLC.
Other - Org Name:RIGHT AT HOME VIRGINIA BEACH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:VAVRICEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-697-7537
Mailing Address - Street 1:6700 MERCY ROAD, STE 400
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:NORTHAMPTON EXECUTIVE CENTER
Practice Address - Street 2:1300 DIAMOND SPRINGS RD, STE 301
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455
Practice Address - Country:US
Practice Address - Phone:757-985-2057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-23
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care