MEDICARE: HOME RECOVERY OF VIRGINIA, 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	NA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265476626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME RECOVERY OF VIRGINIA, LLC

Provider Business Mailing Address
First Line	:	1509 W 3RD ST STE 103
Second Line	:
City	:	FARMVILLE
State	:	VA
Zip	:	23901-2887
Country	:	US
Telephone Number	:	434-392-7336
Fax Number	:	434-392-1970

Provider Business Practice Location Address
First Line	:	1509 W 3RD ST STE 103
Second Line	:
City	:	FARMVILLE
State	:	VA
Zip	:	23901-2887
Country	:	US
Telephone Number	:	434-392-7336
Fax Number	:	434-392-1970

Authorized Official
Title or Position	:	VP RCM
Name	:	EDWIN VETTER
Credential	:
Telephone Number	:	502-432-9202

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	05/06/2026

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