Provider Demographics
NPI:1881649358
Name:RICHLANDS HOME CARE, INC.
Entity Type:Organization
Organization Name:RICHLANDS HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TRISTA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BLANKENSHIP
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:276-596-9536
Mailing Address - Street 1:PO BOX 418
Mailing Address - Street 2:
Mailing Address - City:RICHLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:24641-0418
Mailing Address - Country:US
Mailing Address - Phone:276-596-9536
Mailing Address - Fax:276-596-9538
Practice Address - Street 1:2032 CEDAR VALLEY DRIVE
Practice Address - Street 2:
Practice Address - City:CEDAR BLUFF
Practice Address - State:VA
Practice Address - Zip Code:24609-8753
Practice Address - Country:US
Practice Address - Phone:276-596-9536
Practice Address - Fax:276-596-9538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO360251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA49-7611OtherMEDICARE PROVIDER NUMBER