Healthcare Provider Details
I. General information
NPI: 1598597304
Provider Name (Legal Business Name): RICH HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/19/2024
Last Update Date: 08/25/2024
Certification Date: 08/25/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7200 REGATTA PT
ST THOMAS VI
00802-2703
US
IV. Provider business mailing address
PO BOX 12455
ST THOMAS VI
00801-8455
US
V. Phone/Fax
- Phone: 340-777-7900
- Fax:
- Phone: 404-583-4940
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MELINDA
D
RICHARDS
Title or Position: CEO
Credential:
Phone: 404-583-4940