Healthcare Provider Details

I. General information

NPI: 1528347945
Provider Name (Legal Business Name): RBS HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2011
Last Update Date: 08/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 GRAND CENTRAL AVE SUITE 110
VIENNA WV
26105-1300
US

IV. Provider business mailing address

2200 GRAND CENTRAL AVE SUITE 110
VIENNA WV
26105-1300
US

V. Phone/Fax

Practice location:
  • Phone: 304-699-3330
  • Fax:
Mailing address:
  • Phone: 304-699-3330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateWV

VIII. Authorized Official

Name: MR. RICHARD BRINSLEY SHERIDAN III
Title or Position: PRESIDENT
Credential:
Phone: 304-699-3330