Healthcare Provider Details

I. General information

NPI: 1639643794
Provider Name (Legal Business Name): EMBRACE FOSTER CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2019
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6345 CENTER DR BLDG 14
NORFOLK VA
23502-4126
US

IV. Provider business mailing address

PO BOX 11247
RICHMOND VA
23230-1247
US

V. Phone/Fax

Practice location:
  • Phone: 804-381-5753
  • Fax: 804-433-3531
Mailing address:
  • Phone: 877-566-9624
  • Fax: 804-433-3531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS RIEHL
Title or Position: EVP & SECRETARY
Credential:
Phone: 614-580-6346