Mid-Atlantic Home Care Richmond, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MID-ATLANTIC HOME CARE RICHMOND, LLC

Practice address

4900 Cox Rd Ste 245
Glen Allen, VA 23060-6509

Phone

(804) 527-1100

NPI assigned

Mar 28, 2022

Organization subpart

No

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

Authorized official

Name

Kelly Criste-Cook

Title

Director of Operations

Phone

(804) 527-1100

Specialties & licenses 2

Addresses

Other names 1

• Home Instead Doing business as

Locations

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1770233140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 COX RD STE 245",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606509",
            "telephone_number": "804-527-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 COX RD STE 245",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606509",
            "telephone_number": "804-527-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC HOME CARE RICHMOND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "CRISTE-COOK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "804-527-1100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Instead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Carter Michaels, O.D.
• Brenda Wilson Mickens
• Shelly Mickens, MS, ATC, CSCS
• Mid Atlantic Physician Assistant Services, P.C.
• Mid Atlantic Rehabilitation Specialists, PLC
• Nadine Victoria Mignardi, OT/L
• Kimberley Milby, MS, CCC-SLP
• Amanda Lee Miller, PT, DPT
• Melissa P Miller, LCSW
• Michael E Miller, D.D.S.

• In Home Supportive Care Agency in Glen Allen, VA
• Providers in Glen Allen, 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 Jan 9, 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.