Provider Demographics
NPI:1760436836
Name:ORTHOCARERN LLC
Entity Type:Organization
Organization Name:ORTHOCARERN LLC
Other - Org Name:HOME RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-908-6245
Mailing Address - Street 1:816 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-1608
Mailing Address - Country:US
Mailing Address - Phone:434-392-7336
Mailing Address - Fax:434-392-9609
Practice Address - Street 1:6225 BRANDON AVE STE 440B
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-2532
Practice Address - Country:US
Practice Address - Phone:877-444-6276
Practice Address - Fax:703-481-1944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-21
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-362251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA497616Medicare Oscar/Certification