Organization Active NPI

Family Lifeline

  • In Home Supportive Care Agency
  • Richmond, VA
National Provider Identifier
1245627330
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HCO15744 Issued in VA
Legal business name
FAMILY LIFELINE
Practice address
2325 W Broad St
Richmond, VA 23220-2009
Phone
(804) 249-5400
Fax
(804) 285-3701
NPI assigned
Apr 16, 2015
Last updated
Apr 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Ms. Amy Strite
Title
President and Ceo
Phone
(804) 249-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HCO15744 VA Primary

Addresses

Primary practice location

2325 W Broad St
Richmond, VA 23220-2009

Mailing address

2325 W Broad St
Richmond, VA 23220-2009
Phone (804) 249-5400

Other identifiers 2

IdentifierTypeStateIssuer
0087717317MedicaidVA
0087000870MedicaidVA

National Provider Directory

National Provider Directory

Locations

2325 W Broad St
Richmond, VA 23220
Phone (717) 713-7327

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1245627330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232202009",
            "telephone_number": "804-249-5400",
            "fax_number": "804-285-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232202009",
            "telephone_number": "804-249-5400",
            "fax_number": "804-285-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LIFELINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "STRITE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "804-249-5400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO15744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087717317",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087000870",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 16, 2015; 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.