Healthcare Provider Details

I. General information

NPI: 1083578553
Provider Name (Legal Business Name): MARATHON HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 E 4TH ST STE F6
RICHMOND VA
23224-5559
US

IV. Provider business mailing address

715 E 4TH ST STE F6
RICHMOND VA
23224-5559
US

V. Phone/Fax

Practice location:
  • Phone: 804-738-1010
  • Fax:
Mailing address:
  • Phone: 804-738-1010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TORIE WATSON
Title or Position: DON
Credential: RN
Phone: 804-548-5755