MEDICARE: RESPIRATORY HOME CARE OF VIRGINIA, INC

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	332BX2000X	Oxygen Equipment & Supplies (DME)	0206008158	VA

General Provider Information

NPI Number	:	1801129879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESPIRATORY HOME CARE OF VIRGINIA, INC

Provider Business Mailing Address
First Line	:	11842 CANON BLVD
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606-2556
Country	:	US
Telephone Number	:	757-873-1700
Fax Number	:	757-873-0460

Provider Business Practice Location Address
First Line	:	2005 OLD GREENBRIER RD
Second Line	:	SUITE 100
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-2649
Country	:	US
Telephone Number	:	757-627-0700
Fax Number	:	757-962-1411

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. THOMAS EDWIN INMAN II
Credential	:
Telephone Number	:	757-873-1700

Provider Enumeration Date	:	09/09/2009
Last Update Date	:	12/16/2011

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