MEDICARE: RETIRE-IN-PLACE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1164878609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RETIRE-IN-PLACE LLC

Provider Business Mailing Address
First Line	:	14420 ALBEMARLE POINT PL STE 150
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20151-1690
Country	:	US
Telephone Number	:	703-662-7500
Fax Number	:	703-661-6937

Provider Business Practice Location Address
First Line	:	14420 ALBEMARLE POINT PL STE 150
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20151-1690
Country	:	US
Telephone Number	:	703-230-5555
Fax Number	:	703-385-3855

Authorized Official
Title or Position	:	CEO
Name	:	JOHNNY L WILKINSON
Credential	:
Telephone Number	:	703-662-7500

Provider Enumeration Date	:	05/13/2016
Last Update Date	:	12/15/2025

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Directions to “RETIRE-IN-PLACE LLC ” Practice Location

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