ELGREAT HEALTHCARE SERVICES LLC NPI 1922753193

NPI Information

NPI: 1922753193
Provider Name: ELGREAT HEALTHCARE SERVICES LLC

Doing Business As: ELGREAT HEALTHCARE CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2301 HILLIARD RD STE 4
HENRICO, VA
ZIP 23228
Phone: (804) 528-9752
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ELGREAT HEALTHCARE SERVICES LLC is a multi-specialty clinic center in Henrico, VA. ELGREAT HEALTHCARE SERVICES LLC NPI is 1922753193. The provider is registered as an organization entity type.
The provider Is Doing Business As Elgreat Healthcare Center.

The provider's business location address is:

2301 HILLIARD RD STE 4
HENRICO, VA
ZIP 23228-525
Phone: (804) 528-9752
Fax: (804) 409-8005

The provider's authorized official is Ifeoma Nkemdilim Jennifer Elebo .
The authorized official title is Administrator and has the following contact phone number (804) 528-9752.

The CLIA number assigned to this NPI record is 49D2259105 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2022 and was last updated on 5/1/2023.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QP2300X	Clinic/Center	Primary Care	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
4	363LF0000X	Nurse Practitioner	Family	No
5	363LP0200X	Nurse Practitioner	Pediatrics	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
7	363LP2300X	Nurse Practitioner	Primary Care	No
8	363LW0102X	Nurse Practitioner	Women's Health	No
9	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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: 5/5/2024

NPI Synchronization or Removal

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