Provider Demographics
NPI:1013917681
Name:VIRGINIA HEALTH ENTERPRISES, L.L.C.
Entity type:Organization
Organization Name:VIRGINIA HEALTH ENTERPRISES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHRIEVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-599-1326
Mailing Address - Street 1:240 NAT TURNER BLVD S
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-0020
Mailing Address - Country:US
Mailing Address - Phone:757-596-6268
Mailing Address - Fax:757-596-3621
Practice Address - Street 1:1100 WILLIAM STYRON SQ S
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2877
Practice Address - Country:US
Practice Address - Phone:757-599-7457
Practice Address - Fax:757-596-3621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9107908Medicaid
VA242214OtherANTHEM
VA0662640001Medicare ID - Type Unspecified