Organization Active NPI

Elderlescent Care Incorporated

  • In Home Supportive Care Agency
  • Richmond, VA
National Provider Identifier
1255940896
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jul 29, 2020

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.