Organization Active NPI

Rva Healthcare at Home

Doing business as Rva Healthcare

  • Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1336852912
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
RVA HEALTHCARE AT HOME
Doing business as
Rva Healthcare
Practice address
5231 Hickory Park Dr Ste D
Glen Allen, VA 23059-2619
Phone
(804) 334-3802
Fax
(804) 302-6501
NPI assigned
Dec 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Jennifer P Hauser, APRN-BC, AGACNP-BCNPI 1689117780
Title
Owner/Provider
Phone
(804) 334-3802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

5231 Hickory Park Dr Ste D
Glen Allen, VA 23059-2619

Mailing address

6001 Lakeside Ave Ste 7
Richmond, VA 23228-5735
Phone (804) 334-3802

Other names 1

  • RVA HEALTHCARE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL RVAHEALTHCAREATHOME@GMAIL.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230711000086 VA Part B Supplier - Clinic/Group Practice 2062871932 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Allen, VA

National Provider Directory

National Provider Directory

Locations

6001 Lakeside Ave
Ste 7
Richmond, VA 23228
Phone (804) 334-3802

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1336852912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 LAKESIDE AVE STE 7",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285735",
            "telephone_number": "804-334-3802",
            "fax_number": "804-302-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 HICKORY PARK DR STE D",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592619",
            "telephone_number": "804-334-3802",
            "fax_number": "804-302-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RVA HEALTHCARE AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "804-334-3802",
        "authorized_official_credential": "APRN-BC, AGACNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RVAHEALTHCAREATHOME@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "RVAHEALTHCAREATHOME@GMAIL.COM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5231 Hickory Park Dr Ste D",
            "city": "Glen Allen",
            "state": "VA",
            "country_code": "US",
            "postal_code": "230592619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "RVA HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.