NPIMap

Organization Active NPI

Bon Secours-Virginia Healthsource

  • Durable Medical Equipment & Medical Supplies
  • Richmond, VA
National Provider Identifier
1124036629
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BON SECOURS-VIRGINIA HEALTHSOURCE
Practice address
8143 Staples Mill Rd
Richmond, VA 23228
Phone
(804) 266-2002
Fax
(804) 266-1025
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George Odell Butler
Title
Director of Corp Responsibility
Phone
(804) 281-0271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8143 Staples Mill Rd
Richmond, VA 23228

Mailing address

7229 Forest Ave
Suite 208
Richmond, VA 23226-3765
Phone (804) 281-0271

Other identifiers 5

IdentifierTypeStateIssuer
070942OtherVAANTHEM BCBS OF VA
0897250OtherVAAETNA
009135162MedicaidVA
189262OtherVASOUTHERN HEALTH
20650OtherVAOPTIMA HEALTH

Other names 1

  • Bon Secours Home Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beaverdam Family Phy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7229 Forest Ave
Ste 208
Richmond, VA 23226

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1124036629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 FOREST AVE",
            "address_2": "SUITE 208",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263765",
            "telephone_number": "804-281-0271",
            "fax_number": "804-521-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8143 STAPLES MILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23228",
            "telephone_number": "804-266-2002",
            "fax_number": "804-266-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS-VIRGINIA HEALTHSOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ODELL",
        "authorized_official_title_or_position": "DIRECTOR OF CORP RESPONSIBILITY",
        "authorized_official_telephone_number": "804-281-0271"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF VA",
            "identifier": "070942",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0897250",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009135162",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "189262",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH",
            "identifier": "20650",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Home Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.