Restoration Healthcare Services,Inc

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

RESTORATION HEALTHCARE SERVICES,INC

Practice address

3900 Westerre Pkwy Ste 300
Henrico, VA 23233-1339

Phone

(540) 406-3072

NPI assigned

Dec 7, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Mbah MetukNPI 1093194466

Title

Ceo

Phone

(240) 476-9997

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kenneth Metuk

  • Home Health Aide
  • Takoma Park, MD
  • NPI 1093194466
  NPD Authorized official

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1366219511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 SUMMIT AVE STE 131",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304339",
            "telephone_number": "240-476-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WESTERRE PKWY STE 300",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331339",
            "telephone_number": "540-406-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION HEALTHCARE SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "METUK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "MBAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-476-9997",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christine O Ressler, DDS
• Nathaniel Greene Reuter
• Angela L Revercomb
• Rebecca L Ricardo, LCSW
• Sydney G Richard, PA
• Jennifer Richardet, NURSE PRACTITIONER

• Licensed Practical Nurse in Henrico, VA
• Providers in Henrico, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.