DAVID HERZKA NPI 1679110506

NPI Information

NPI: 1679110506
Provider Name: DAVID HERZKA
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
12411 GAYTON RD
RICHMOND, VA
ZIP 23238
Phone: (804) 741-9494
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DAVID HERZKA is an assisted living facility in Richmond, VA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. DAVID HERZKA NPI is 1679110506. The provider is registered as an organization entity type.

The provider's business location address is:

12411 GAYTON RD
RICHMOND, VA
ZIP 23238-272
Phone: (804) 741-9494

The provider's authorized official is Julia King .
The authorized official title is Billing Supervisor and has the following contact phone number (817) 933-7582.

The enumeration date for this NPI number is 12/10/2019 and was last updated on 12/10/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NONE	OTHER		NONE

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

NPI Synchronization or Removal

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