Healthcare Provider Details

I. General information

NPI: 1881649358
Provider Name (Legal Business Name): RICHLANDS HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 04/17/2023
Certification Date: 04/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2032 CEDAR VALLEY DRIVE
CEDAR BLUFF VA
24609-8753
US

IV. Provider business mailing address

PO BOX 418
RICHLANDS VA
24641-0418
US

V. Phone/Fax

Practice location:
  • Phone: 276-596-9536
  • Fax: 276-596-9538
Mailing address:
  • Phone: 276-596-9536
  • Fax: 276-596-9538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCO360
License Number StateVA

VIII. Authorized Official

Name: TRISTA R BLANKENSHIP
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 276-596-9536