MEDICARE: RICHFIELD LIVING

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	332BN1400X	Nursing Facility Supplies (DME)
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
3	314000000X	Skilled Nursing Facility	NH2661	VA

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

General Provider Information

NPI Number	:	1710985841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHFIELD LIVING

Provider Business Mailing Address
First Line	:	3719 KNOLLRIDGE RD
Second Line	:
City	:	SALEM
State	:	VA
Zip	:	24153-1938
Country	:	US
Telephone Number	:	540-380-5500
Fax Number	:	540-380-1583

Provider Business Practice Location Address
First Line	:	3615 W MAIN ST
Second Line	:
City	:	SALEM
State	:	VA
Zip	:	24153-1961
Country	:	US
Telephone Number	:	540-380-4500
Fax Number	:	540-380-3510

Authorized Official
Title or Position	:	ACCOUNTS RECEIVABLE MANAGER
Name	:	EDITH WOODFORD
Credential	:
Telephone Number	:	540-380-6557

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	04/02/2021

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Directions to “RICHFIELD LIVING ” Practice Location

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