Healthcare Provider Details

I. General information

NPI: 1386575470
Provider Name (Legal Business Name): PELHAM ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4312 CHAMBERLAYNE AVE
RICHMOND VA
23227-5012
US

IV. Provider business mailing address

4312 CHAMBERLAYNE AVE
RICHMOND VA
23227-5012
US

V. Phone/Fax

Practice location:
  • Phone: 804-807-6768
  • Fax: 804-807-6768
Mailing address:
  • Phone: 804-807-6768
  • Fax: 804-807-6768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: TOURE PELHAM
Title or Position: CEO
Credential: PELHAM
Phone: 804-807-6768