Healthcare Provider Details

I. General information

NPI: 1982857025
Provider Name (Legal Business Name): ENVOY OF RICHMOND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2008
Last Update Date: 11/27/2023
Certification Date: 05/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4403 FOREST HILL AVE
RICHMOND VA
23225-3241
US

IV. Provider business mailing address

4403 FOREST HILL AVE
RICHMOND VA
23225-3241
US

V. Phone/Fax

Practice location:
  • Phone: 804-231-0231
  • Fax:
Mailing address:
  • Phone: 804-231-0231
  • Fax: 804-232-4215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: KENNETH USSERY
Title or Position: VP
Credential:
Phone: 407-571-1550