Provider Demographics
NPI:1841773876
Name:RICHMOND HEALTHCARE
Entity Type:Organization
Organization Name:RICHMOND HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-439-7347
Mailing Address - Street 1:6509 N STEVENS HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-8548
Mailing Address - Country:US
Mailing Address - Phone:804-439-7347
Mailing Address - Fax:804-276-1215
Practice Address - Street 1:6509 N STEVENS HOLLOW DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-8548
Practice Address - Country:US
Practice Address - Phone:804-439-7347
Practice Address - Fax:804-276-1215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA16999263350Medicaid