DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TRADITIONS HOSPICE OF GLEN ALLEN, LLC

MEDICARE: TRADITIONS HOSPICE OF GLEN ALLEN, 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
1251G00000XCommunity Based Hospice Care Agency0511715VA

Other Identifiers

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

General Provider Information

NPI Number : 1275527970
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRADITIONS HOSPICE OF GLEN ALLEN, LLC
Provider Business Mailing Address
First Line : 10128 W BROAD ST STE A
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-6761
Country : US
Telephone Number : 804-290-0951
Fax Number : 804-290-0952
Provider Business Practice Location Address
First Line : 10128 W BROAD ST STE A
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-6761
Country : US
Telephone Number : 804-290-0951
Fax Number :
Authorized Official
Title or Position : CEO
Name : ANTHONY CHASE
Credential :
Telephone Number : 859-312-3595
Provider Enumeration Date : 09/08/2005
Last Update Date : 06/02/2026

Similar Medicare Providers

1225090350 — MR. JASON M BRIDGES PT, MSPT
Practice Location Address:
10128 W BROAD ST BLDG III
GLEN ALLEN, VA
23060-6761
Practice Phone: 804-217-9210
Practice Fax: 804-217-9213
1275572661 — KATHLEEN PENNOCK MS, PT
Practice Location Address:
10128 W BROAD ST BLDG III
GLEN ALLEN, VA
23060-6761
Practice Phone: 804-217-9210
Practice Fax: 804-217-9213
1457389595 — TIDEWATER PHYSICAL THERAPY, LLC
Practice Location Address:
10128 W BROAD ST BLDG III
GLEN ALLEN, VA
23060-6761
Practice Phone: 804-217-9210
Practice Fax: 804-217-9213
1477588986 — TIDEWATER PHYSICAL THERAPY, LLC
Practice Location Address:
10128 W BROAD ST , FORUM BUILDING III, SUITE K
GLEN ALLEN, VA
23060-6761
Practice Phone: 804-217-9210
Practice Fax: 804-217-9213
1659398477 — DR. SIRISHA BRENNAN M.D.
Practice Location Address:
10128 W BROAD ST , SUITE J
GLEN ALLEN, VA
23060-6761
Practice Phone: 804-955-4852
Practice Fax: 855-392-9700
1003906793 — GREGORY B SHASBY PHD, PT
Practice Location Address:
10128 W BROAD ST , FORUM BLDG III, SUITE K
GLEN ALLEN, VA
23060-6761
Practice Phone: 804-217-9210
Practice Fax: 804-217-9213

Directions to “TRADITIONS HOSPICE OF GLEN ALLEN, 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.