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LONG TERM CARE OF AMERICA-VIRGINIA INC. NPI 1104902386


NPI Information

NPI: 1104902386
Provider Name: LONG TERM CARE OF AMERICA-VIRGINIA, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5000 MONUMENT AVE
SUITE 102
RICHMOND, VA
ZIP 23230
Phone: (804) 593-5146
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LONG TERM CARE OF AMERICA-VIRGINIA, INC. is a family medicine in Richmond, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LONG TERM CARE OF AMERICA-VIRGINIA, INC. NPI is 1104902386. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5000 MONUMENT AVE
SUITE 102
RICHMOND, VA
ZIP 23230-600
Phone: (804) 593-5146
Fax: (804) 477-7243

The provider's authorized official is Marc G Nevin .
The authorized official title is President and has the following contact phone number (804) 593-5146.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 3/7/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1005609241MEDICAIDVIRGINIA
2080007549MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
3B06556MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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