Provider Demographics
NPI:1710985841
Name:RICHFIELD LIVING
Entity Type:Organization
Organization Name:RICHFIELD LIVING
Other - Org Name:RICHFIELD HEALTH CENTER - SALEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-380-6557
Mailing Address - Street 1:3719 KNOLLRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-1938
Mailing Address - Country:US
Mailing Address - Phone:540-380-5500
Mailing Address - Fax:540-380-1583
Practice Address - Street 1:3615 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-1961
Practice Address - Country:US
Practice Address - Phone:540-380-4500
Practice Address - Fax:540-380-3510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VANH2661314000000X
332BN1400X, 332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004950135Medicaid
VA495013Medicare Oscar/Certification
VA0504480001Medicare NSC