Provider Demographics
NPI:1750843066
Name:NEW RIVER HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:NEW RIVER HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:DALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-773-2244
Mailing Address - Street 1:578 E MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:VA
Mailing Address - Zip Code:24348-3880
Mailing Address - Country:US
Mailing Address - Phone:276-773-2244
Mailing Address - Fax:276-773-9555
Practice Address - Street 1:578 E MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:VA
Practice Address - Zip Code:24348-3880
Practice Address - Country:US
Practice Address - Phone:276-773-2244
Practice Address - Fax:276-773-9555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health