Healthcare Provider Details

I. General information

NPI: 1265168231
Provider Name (Legal Business Name): RSR HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2022
Last Update Date: 01/22/2023
Certification Date: 01/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6002 W BROAD ST STE 205
RICHMOND VA
23230-2213
US

IV. Provider business mailing address

6002 W BROAD ST STE 205
RICHMOND VA
23230-2213
US

V. Phone/Fax

Practice location:
  • Phone: 646-206-9500
  • Fax: 804-918-9765
Mailing address:
  • Phone: 646-206-9500
  • Fax: 804-918-9765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State

VIII. Authorized Official

Name: MRS. RASHA R ELGENDY
Title or Position: OFFICE MANAGER / OWNER
Credential: RASHA R ELGENDY
Phone: 646-206-9500