Active NPI
Elderlescent Care Incorporated
- In Home Supportive Care Agency
- Richmond, VA
National Provider Identifier
1255940896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ELDERLESCENT CARE INCORPORATED
- Practice address
- 3520 Skipping Rock Way
Richmond, VA 23234-2971 - Phone
- (804) 683-9630
- NPI assigned
- Jul 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda Maria Jafari, MPA, MDIV.
- Title
- Executive Director
- Phone
- (804) 255-9993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
3520 Skipping Rock Way
Richmond, VA 23234-2971
Mailing address
6767 Forest Hill Ave Ste 311
Richmond, VA 23225-1852
Phone (804) 255-9993
Other names 1
- Elderlescent Care
National Provider Directory
National Provider DirectoryLocations
6767 Forest Hill Ave
Ste 311
Richmond, VA 23225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595980800000",
"number": "1255940896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6767 FOREST HILL AVE STE 311",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232251852",
"telephone_number": "804-255-9993",
"fax_number": "804-203-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 SKIPPING ROCK WAY",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232342971",
"telephone_number": "804-683-9630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELDERLESCENT CARE INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-29",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A",
"authorized_official_last_name": "JAFARI",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "804-255-9993",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MPA, MDIV."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elderlescent Care",
"code": "5",
"type": "Other Name"
}
]
}
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 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.