Providence Realty & Financial Mutual

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROVIDENCE REALTY & FINANCIAL MUTUAL

Doing business as

Providence Care

Practice address

2702 Perdue CT
Chester, VA 23831-2149

Phone

(804) 318-7978

NPI assigned

Mar 15, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Christopher RussNPI 1720594005

Title

Owner

Phone

(804) 318-7978

Specialties & licenses 1

Addresses

Other names 1

• Providence Care Doing business as

Practitioners 1

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

• Christopher Russ

  • Home Health Aide
  • Chester, VA
  • NPI 1720594005
  NPD (past) Authorized official

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1447753447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 PERDUE CT",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238312149",
            "telephone_number": "804-318-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 PERDUE CT",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238312149",
            "telephone_number": "804-318-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE REALTY & FINANCIAL MUTUAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-318-7978",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premise Health of Virginia Medical, P.C
• William James Presley III, PHARMD
• Janell Juanita Price
• Prime Care Health Services PC
• Professional Hearing Aid Service, Inc
• Providing Ease Home Care Services
• Reed D Prugh, DDS
• PT Solutions Chester, PLLC
• Frank Arthur Pugh Jr., DC
• George V Puster Jr., MD

• In Home Supportive Care Agency in Chester, VA
• Providers in Chester, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.