Healthcare Provider Details

I. General information

NPI: 1457982365
Provider Name (Legal Business Name): CANDID HOME CARE VA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2020
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 MAYLAND DR STE 103A
RICHMOND VA
23294-4751
US

IV. Provider business mailing address

8501 MAYLAND DR STE 103A
RICHMOND VA
23294-4751
US

V. Phone/Fax

Practice location:
  • Phone: 804-716-4981
  • Fax: 804-716-4945
Mailing address:
  • Phone: 43-024-6738
  • Fax: 804-348-2782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BHUPENDRA BARAL
Title or Position: PRESIDENT
Credential:
Phone: 717-706-7100