Healthcare Provider Details

I. General information

NPI: 1760436836
Provider Name (Legal Business Name): ORTHOCARERN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2006
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6225 BRANDON AVE STE 440B
SPRINGFIELD VA
22150-2532
US

IV. Provider business mailing address

816 E 3RD ST
FARMVILLE VA
23901-1608
US

V. Phone/Fax

Practice location:
  • Phone: 877-444-6276
  • Fax: 703-481-1944
Mailing address:
  • Phone: 434-392-7336
  • Fax: 434-392-9609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCO-362
License Number StateVA

VIII. Authorized Official

Name: WILLIAM M WEIMER
Title or Position: CFO
Credential:
Phone: 804-908-6245