Healthcare Provider Details
I. General information
NPI: 1982470241
Provider Name (Legal Business Name): JAMES RIVER HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/28/2023
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9100 ARBORETUM PKWY STE 290
NORTH CHESTERFIELD VA
23236-3494
US
IV. Provider business mailing address
9100 ARBORETUM PKWY STE 290
NORTH CHESTERFIELD VA
23236-3494
US
V. Phone/Fax
- Phone: 804-272-3300
- Fax:
- Phone: 804-272-3300
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QH0002X |
| Taxonomy | Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0002X |
| Taxonomy | Hospice and Palliative Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TRICIA
ROWSEY
Title or Position: CRMO
Credential:
Phone: 804-272-3300