Home Infusion Richmond, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

HOME INFUSION RICHMOND, LLC

Practice address

9323 Midlothian Tpke Ste S
Richmond, VA 23235-4942

Phone

(804) 554-1500

Fax

(804) 510-2244

NPI assigned

May 19, 2020

Organization subpart

No

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

Authorized official

Name

Stefan D Debski

Title

Owner/Pic

Phone

(804) 554-1500

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Vital Care of Richmond Doing business as

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1265055883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9323 MIDLOTHIAN TPKE STE S",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9323 MIDLOTHIAN TPKE STE S",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354942",
            "telephone_number": "804-554-1500",
            "fax_number": "804-510-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME INFUSION RICHMOND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "DEBSKI",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "804-554-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265055883",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "7855650001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of Richmond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George B Holzbach Jr., RPH
• Mark Hom, M.D.
• Home Ancillary Services LLC
• Home Care by Professionals Inc
• Home Care Delivered, Inc.
• Home Infusion Solutions LLC
• Home Instead Senior Care
• Home of Hearts LLC
• Home Suite Homes Residential & Assisted Living LLC
• Homechoice Partners, LLC

• Home Infusion Therapy Pharmacy in Richmond, VA
• Providers in Richmond, VA by specialty
• Home Infusion Therapy Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.