Basic Information
Provider Information | |||||||||
NPI: | 1851660872 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | NURSEFINDERS | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 1807 EMMET ST N | ||||||||
Address2: | SUITE 3A | ||||||||
City: | CHARLOTTESVILLE | ||||||||
State: | VA | ||||||||
PostalCode: | 229013616 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4349727200 | ||||||||
FaxNumber: | 4349791300 | ||||||||
Practice Location | |||||||||
Address1: | 9120 MIDLOTHIAN TURNPIKE | ||||||||
Address2: |   | ||||||||
City: | RICHMOND | ||||||||
State: | VA | ||||||||
PostalCode: | 23235 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8045609400 | ||||||||
FaxNumber: | 8045605590 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 12/20/2011 | ||||||||
LastUpdateDate: | 12/20/2011 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | HINES | ||||||||
AuthorizedOfficialFirstName: | LIZ | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: | PAYROLL AND BILLING MANAGER | ||||||||
AuthorizedOfficialTelephone: | 8045609400 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | N | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | HCO12574 | VA | Y |   | Agencies | Home Health |   |
No ID Information.