Provider Demographics
NPI:1003269853
Name:JAMES RIVER HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:JAMES RIVER HOME HEALTH CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF REVENUE MANAGEMENT OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-272-3300
Mailing Address - Street 1:9100 ARBORETUM PKWY
Mailing Address - Street 2:SUITE 290
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236
Mailing Address - Country:US
Mailing Address - Phone:804-272-3300
Mailing Address - Fax:804-272-3305
Practice Address - Street 1:9100 ARBORETUM PKWY
Practice Address - Street 2:SUITE 290
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236
Practice Address - Country:US
Practice Address - Phone:804-272-3300
Practice Address - Fax:804-272-3305
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMES RIVER HOME HEALTH CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-07-18
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1003269853Medicaid