Healthcare Provider Details

I. General information

NPI: 1467173815
Provider Name (Legal Business Name): A HEART 2 HOME RESIDENTIAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2022
Last Update Date: 09/05/2022
Certification Date: 09/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 E LABURNUM AVE # 4
RICHMOND VA
23222-2120
US

IV. Provider business mailing address

405 E LABURNUM AVE # 4
RICHMOND VA
23222-2120
US

V. Phone/Fax

Practice location:
  • Phone: 804-415-7525
  • Fax: 804-415-7713
Mailing address:
  • Phone: 804-415-7525
  • Fax: 804-415-7713

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: ROSA PLUMMER
Title or Position: ASSISTANT ADMINISTRATOR
Credential:
Phone: 804-415-7525