MEDICARE: COTTAGE HOME CARE VA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1255289773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COTTAGE HOME CARE VA LLC

Provider Business Mailing Address
First Line	:	3900 WESTERRE PKWY
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23233-1478
Country	:	US
Telephone Number	:	804-816-4646
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 WESTERRE PKWY
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23233-1478
Country	:	US
Telephone Number	:	804-816-4646
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ALLEN STEIN
Credential	:
Telephone Number	:	516-367-2266

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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Directions to “COTTAGE HOME CARE VA LLC ” Practice Location

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