A Renewed Legacy Senior Care, LLC

Organization Active NPI Home Health Agency · Richmond, VA

NPI 1154882991 · NPPES record last updated Mar 26, 2019

Key facts

NPI
1154882991
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
A RENEWED LEGACY SENIOR CARE, LLC
Practice address
206 E Clay St Ste B
Richmond, VA 23219-1326
Phone
(804) 955-9044
NPI assigned
Mar 26, 2019
Organization subpart
No

Authorized official

Name
Korinn Carter
Title
Owner
Phone
(804) 955-9044

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2169814A Renewed Legacy Senior Care, LLC
206 E Clay Street Suite B, Richmond, VA 23219
Certificate of waiverJul 28, 2027

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

206 E Clay St Ste B
Richmond, VA 23219-1326

Mailing address

206 E Clay St Ste B
Richmond, VA 23219-1326

Other providers in Richmond, VA

All providers in Richmond, VA · Home Health Agency in Virginia

Sources for this page

Verify at the official NPI Registry.