Provider Demographics
NPI:1922686559
Name:RICHFIELD LIVING
Entity Type:Organization
Organization Name:RICHFIELD LIVING
Other - Org Name:RICHFIELD HEALTH CENTER - ROANOKE
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 1:1047 MECCA ST NE
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-6219
Mailing Address - Country:US
Mailing Address - Phone:540-380-4500
Mailing Address - Fax:
Practice Address - Street 1:1047 MECCA ST NE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-6219
Practice Address - Country:US
Practice Address - Phone:540-380-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-02
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition