MEDICARE: TOTAL HOMECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	0206008302	VA
2	335E00000X	Prosthetic/Orthotic Supplier
3	332BX2000X	Oxygen Equipment & Supplies (DME)	0206008302	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124021720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL HOMECARE LLC

Provider Business Mailing Address
First Line	:	555 E NORTH LN STE 5075
Second Line	:
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-2490
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 S CRATER RD
Second Line	:	STE 5
City	:	PETERSBURG
State	:	VA
Zip	:	23805
Country	:	US
Telephone Number	:	804-861-1606
Fax Number	:	804-862-1254

Authorized Official
Title or Position	:	CCO
Name	:	WENDY RUSSALESI
Credential	:
Telephone Number	:	484-246-9499

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	02/02/2026

Similar Medicare Providers

1770149726 — LAURA E. DIAZ MSN-FNP
Practice Location Address:

21 WALNUT BLVD STE 12&3
PETERSBURG, VA
23805-2101

Practice Phone: 800-683-8313
Practice Fax: 502-685-9855

1225988694 — MS. SHAWNAE CLAXTON LPN
Practice Location Address:

2623 PARK AVE
PETERSBURG, VA
23805-2420

Practice Phone: 804-471-4711
Practice Fax:

1124021027 — DR. BONNIE JEAN PEARSON DDS
Practice Location Address:

10545 S CRATER RD
PETERSBURG, VA
23805-7333

Practice Phone: 804-732-8557
Practice Fax: 804-732-6638

1154324879 — DR. SAMUEL WINFRED PERSON D.P.M.
Practice Location Address:

2020 WAKEFIELD AVE
PETERSBURG, VA
23805-2112

Practice Phone: 804-732-1211
Practice Fax: 804-733-5946

1992707137 — EUGENE L PARK MD
Practice Location Address:

40 MEDICAL PARK BLVD STE D
PETERSBURG, VA
23805

Practice Phone: 804-765-6100
Practice Fax: 804-765-6101

1962407700 — CRATER COMMUNITY HOSPICE INC
Practice Location Address:

3916 S CRATER RD
PETERSBURG, VA
23805-9202

Practice Phone: 804-526-4300
Practice Fax: 804-526-4924

Directions to “TOTAL HOMECARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.