Healthcare Provider Details

I. General information

NPI: 1376395194
Provider Name (Legal Business Name): SAAD EL AMIN JD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2024
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4206 CHAMBERLAYNE AVE
RICHMOND VA
23227-5010
US

IV. Provider business mailing address

4206 CHAMBERLAYNE AVE
RICHMOND VA
23227-5010
US

V. Phone/Fax

Practice location:
  • Phone: 800-439-8515
  • Fax:
Mailing address:
  • Phone: 800-439-8515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: