1659563195 NPI number — HAND N HEART

Table of content: (NPI 1659563195)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659563195 NPI number — HAND N HEART

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAND N HEART
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659563195
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/17/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
461 MCLAWS CIR
Provider Second Line Business Mailing Address:
SUITE 3
Provider Business Mailing Address City Name:
WILLIAMSBURG
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23185-6350
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-565-0216
Provider Business Mailing Address Fax Number:
757-565-1760

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 N 5TH ST
Provider Second Line Business Practice Location Address:
SUITE 500
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23219-2231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-819-1755
Provider Business Practice Location Address Fax Number:
804-819-1757
Provider Enumeration Date:
08/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
STRADER
Authorized Official First Name:
STACEY
Authorized Official Middle Name:
Authorized Official Title or Position:
ACCOUNTS RECEIVABLES
Authorized Official Telephone Number:
757-565-0216

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HCO-0864 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0087036395 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".




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