Provider Demographics
NPI:1659517373
Name:KRC HOPKINS LLC
Entity Type:Organization
Organization Name:KRC HOPKINS LLC
Other - Org Name:RIGHT AT HOME PRINCE GEORGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:HEFTY
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-415-7415
Mailing Address - Street 1:208 N 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-2504
Mailing Address - Country:US
Mailing Address - Phone:804-415-7415
Mailing Address - Fax:
Practice Address - Street 1:208 N 4TH AVE
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2504
Practice Address - Country:US
Practice Address - Phone:804-415-7415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-09540251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO-09540OtherVA HOME CARE ORGANIZATION LICENSE