Healthcare Provider Details

I. General information

NPI: 1033417001
Provider Name (Legal Business Name): ATHC - HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2011
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8751 PARK CENTRAL DR STE 140
RICHMOND VA
23227-1162
US

IV. Provider business mailing address

8751 PARK CENTRAL DR STE 140
RICHMOND VA
23227-1162
US

V. Phone/Fax

Practice location:
  • Phone: 804-358-3480
  • Fax: 804-612-3713
Mailing address:
  • Phone: 804-358-3480
  • Fax: 804-612-3713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JAY KOEPER
Title or Position: PRESIDENT
Credential:
Phone: 502-394-2100