Provider Demographics
NPI:1689339426
Name:A.L.B.NONMEDICALHOMECARESERVICELLC
Entity Type:Organization
Organization Name:A.L.B.NONMEDICALHOMECARESERVICELLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED CNA
Authorized Official - Phone:804-386-2070
Mailing Address - Street 1:1814 FAIRFAX AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-6828
Mailing Address - Country:US
Mailing Address - Phone:804-386-2070
Mailing Address - Fax:
Practice Address - Street 1:1814 FAIRFAX AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-6828
Practice Address - Country:US
Practice Address - Phone:804-386-2070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A.L.B.NONMEDICALHOMECARELLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-06
Last Update Date:2021-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health