Healthcare Provider Details

I. General information

NPI: 1609730951
Provider Name (Legal Business Name): RACING FOR HEROES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 ACE DR
ALTON VA
24520-3646
US

IV. Provider business mailing address

1100 ACE DR
ALTON VA
24520-3646
US

V. Phone/Fax

Practice location:
  • Phone: 434-822-4201
  • Fax:
Mailing address:
  • Phone: 434-822-4201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSHUA MICHAEL BABB
Title or Position: DIRECTOR OF HEALTH AND WELLNESS
Credential: MPH
Phone: 910-603-0044