Healthcare Provider Details

I. General information

NPI: 1306355508
Provider Name (Legal Business Name): STONERIDGE TRANSPORTATION AND HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4324 KENMARE CT
RICHMOND VA
23234-3080
US

IV. Provider business mailing address

4324 KENMARE CT
RICHMOND VA
23234-3080
US

V. Phone/Fax

Practice location:
  • Phone: 804-325-9893
  • Fax: 804-325-9893
Mailing address:
  • Phone: 804-325-9893
  • Fax:

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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: KATE CANN
Title or Position: EXECUTIVE DIRECTOR
Credential: ADMINISTRATOR
Phone: 804-528-5615