Provider Demographics
NPI:1265784342
Name:BREATHEAMERICA, RICHMOND, LLC
Entity type:Organization
Organization Name:BREATHEAMERICA, RICHMOND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP MANAGED CARE
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-665-7122
Mailing Address - Street 1:1 BURTON HILLS BLVD
Mailing Address - Street 2:SUITE 375
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-6293
Mailing Address - Country:US
Mailing Address - Phone:615-665-8775
Mailing Address - Fax:615-665-8776
Practice Address - Street 1:201 CONCOURSE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5640
Practice Address - Country:US
Practice Address - Phone:804-968-4824
Practice Address - Fax:804-968-4826
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BREATHEAMERICA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-12
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty