BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. (NPI# 1548779812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548779812 |
| Entity Type | Organization |
| Organization Name | BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. |
| Other Organization Name | BON SECOURS HOME BASED PRIMARY CARE AND SUPPORTIVE SERVICES |
| Practice Address |
5855 Bremo Rd Ste 403 Richmond VA 23226-1924 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 8042662222 |
| Practice Fax Number | 8042818535 |
| Mailing Telephone | 8046275573 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2019-02-13 |
| Authorized Official Name | STEPHEN QUIRICONI (CFO) |
| Authorized Official Telephone | 8042818301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE PTAN | C06778 | 01 |
| Other Name | Type Code |
|---|---|
| Bon Secours Home Based Primary Care and Supportive Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194360503 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 5899 Bremo Rd Ste 202, Richmond, VA 23226-1935 | 2019-11-08 |
| 1346741667 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100, Richmond, VA 23233 | 2018-02-22 |
| 1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
| 1508388554 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Surgery | 5875 Bremo Rd Ste 110, Richmond, VA 23226-1934 | 2017-07-12 |
| 1255776290 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 2401 W Leigh Street, Richmond, VA 23220-1328 | 2013-05-03 |
| 1639430093 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Psychologist | 5855 Bremo Rd Ste 404, Mob North, Richmond, VA 23226-1924 | 2012-06-01 |
| 1548529126 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Pediatrics | 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 | 2012-05-16 |
| 1508125386 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 1501 Maple Ave Ste 100, Richmond, VA 23226-2553 | 2012-05-14 |
| 1013280544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 5875 Bremo Rd Ste G11, Mob South, Richmond, VA 23226-1934 | 2012-02-14 |
| 1265736680 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Pediatrics | 5855 Bremo Rd Ste 703, Richmond, VA 23226-1926 | 2010-12-28 |
| Street Address |
5855 BREMO RD STE 403 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23226-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487895868 | Aleksandra E Kutscha | Social Worker | 5855 Bremo Rd Ste 403, Richmond, VA 23226-1924 | 2009-03-16 |
| 1881174415 | Ellen Koltz | Social Worker | 5855 Bremo Rd Ste 403, Richmond, VA 23226-1924 | 2018-08-14 |
| 1639691066 | Susan C Ross | Social Worker | 5855 Bremo Rd Ste 403, Richmond, VA 23226-1924 | 2017-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
| 1922517028 | Karen Margaret Karwowski | Physical Therapist | 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 | 2017-09-21 |
| 1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
| 1497116438 | Ashton Williams | Counselor | 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 | 2016-03-18 |
| 1396110078 | Nino Carlo Deleon | Dentist | 5500 Monument Ave Ste G, Richmond, VA 23226 | 2015-12-07 |
| 1083097794 | Amy Michelle Kruger | Podiatrist | 2008 Bremo Rd Ste 100, Richmond, VA 23226 | 2015-06-30 |
| 1841682762 | James Bryce Lothian | Pediatrics | 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 | 2015-03-02 |
| 1811334980 | Carmen Wong | Physical Medicine & Rehabilitation | 1901 Libbie Ave, Richmond, VA 23226 | 2013-05-30 |
| 1841533890 | Lauren Etz Freeman | Nurse Practitioner | 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 | 2013-03-28 |
| 1609126044 | Tammy Denise Mills | Nurse Practitioner | 1501 Maple Ave Ste 301, Richmond, VA 23226 | 2012-09-13 |
| Find all providers in zip 23226 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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|---|---|---|---|---|
| 1114528569 | Cedar Care LLC. | Home Health | 10906 Giffnock Dr, Richmond, TX 77407-1553 | 2020-11-03 |
| 1003416009 | Healthwork Global Inc | Home Health | 9522 Matilda Creek Ct, Richmond, TX 77407-2519 | 2020-10-28 |
| 1447857776 | Lifeline Care Inc | Home Health | 18206 Stablewood Manor Trl, Richmond, TX 77407-2328 | 2020-10-09 |
| 1275149072 | Merica Aikens-tomlinson | Home Health | 5759 Wandering Creek Dr, Richmond, TX 77469-6191 | 2020-09-17 |
| 1932713856 | Goshen Touch Healthcare Services LLC | Home Health | 20710 Barrington Meadow Trce, Richmond, TX 77407-2267 | 2020-09-08 |
| 1215540273 | Absolute Relief Provider Services | Home Health | 5934 Yaupon Ridge Dr, Richmond, TX 77469-1650 | 2020-08-28 |
| 1588277065 | Companion Home Care Agency | Home Health | 7538 Rosepath Ln, Richmond, TX 77407-2086 | 2020-08-25 |
| 1902416589 | Tmh Home Health Services | Home Health | 801 Maplegrove Dr, Richmond, VA 23223-2635 | 2020-08-07 |
| 1548879190 | Sandhurst Healthcare LLC | Home Health | 1823 Mamie Springs Ct, Richmond, TX 77469-4682 | 2020-07-29 |
| 1447878830 | Tony Aligbe | Home Health | 8442 Orchard Mist Ln, Richmond, TX 77407-2582 | 2020-07-11 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.