Healthcare Provider Details

I. General information

NPI: 1629456827
Provider Name (Legal Business Name): RNJ GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2015
Last Update Date: 05/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5320 SPORT CLUB RUN
SUFFOLK VA
23435-4224
US

IV. Provider business mailing address

PO BOX 9587
CHESAPEAKE VA
23321-9587
US

V. Phone/Fax

Practice location:
  • Phone: 757-483-8243
  • Fax:
Mailing address:
  • Phone: 757-483-8243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: ROBERT NEAL JOHNSON
Title or Position: OWNER
Credential:
Phone: 757-483-8243