Rva-Stat Healthcare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RVA-STAT HEALTHCARE LLC

Practice address

12110 Chesmount Dr
Chesterfield, VA 23832-3711

Phone

(804) 625-6100

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Charlotte Carter, LPN CDPNPI 1639807316

Title

Ceo

Phone

(804) 625-6100

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlotte Carter, LPN

  • Licensed Practical Nurse
  • Chesterfield, VA
  • NPI 1639807316
  NPD Authorized official

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1184343337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 CHESMOUNT DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238323711",
            "telephone_number": "804-625-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 CHESMOUNT DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238323711",
            "telephone_number": "804-625-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RVA-STAT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-625-6100",
        "authorized_official_credential": "LPN CDP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandy Rucker, MA, LPC
• S & S Golden Transportation, LLC
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• Safe Space Collective LLC
• Alexis Maria Santella, PA-C
• Mary F Santmier, L.P.C.

• Assisted Living Facility in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.