THE LAURELS OF UNIVERSITY PARK, LLC (NPI# 1558458893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558458893 |
| Entity Type | Organization |
| Organization Name | THE LAURELS OF UNIVERSITY PARK, LLC |
| Other Organization Name | THE LAURELS OF UNIVERSITY PARK |
| Practice Address |
2420 Pemberton Rd Richmond VA 23233-2006 |
| Practice Telephone | 8047479200 |
| Mailing Telephone | 8047479200 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TIMOTHY PATTON (CFO) |
| Authorized Official Telephone | 6147948800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
NH2705 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NH LICENSE # | NH2705 | 01 |
| VA | 4951093 | 05 | |
| VA | ANTHEM BC/BS | 221246 | 01 |
| Other Name | Type Code |
|---|---|
| THE LAURELS OF UNIVERSITY PARK | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821109117 | The Laurels of University Park, LLC | Nursing Facility/Intermediate Care Facility | 2420 Pemberton Rd, Richmond, VA 23233-2006 | 2006-08-31 |
| Street Address |
2420 PEMBERTON RD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23233-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821109117 | The Laurels of University Park, LLC | Nursing Facility/Intermediate Care Facility | 2420 Pemberton Rd, Richmond, VA 23233-2006 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1770193286 | Penelope Kate Eissenberg | Occupational Therapist | Cedarfields, 2300 Cedarfield Parkway, Richmond, VA 23233 | 2020-08-10 |
| 1962038570 | Samantha Montgomery Warren | Nurse Practitioner | 3900 Westerre Parkway, Suite 300 Pmb# 308, Richmond, VA 23233 | 2020-03-15 |
| 1285269696 | Joyce Prayer Medical Transportion LLC | Transportation Broker | 2437 Bidgeview Ln, Henrico, VA 23233 | 2020-03-05 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| 1659840924 | Brent Rusnak River Run Dental Greengate | Dentist | 3700 Haydenpark Lane, Medical Office J, Henrico, VA 23233 | 2018-11-16 |
| 1003309808 | Jeffrey Walker | Pharmacist | 3460 Pump Road, Henrico, VA 23233 | 2018-06-07 |
| 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 |
| 1295235026 | Zackery Firesheets | Physical Therapy Assistant | 2422 University Park Blvd., Richmond, VA 23233 | 2018-02-19 |
| Find all providers in zip 23233 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033309000 | Essential Medical Supply | Durable Medical Equipment & Medical Supplies | 1106 Morton Street, F, Richmond, TX 77469 | 2007-07-26 |
| 1932168333 | Resp-a-care Inc | Durable Medical Equipment & Medical Supplies | 6013 Atwood Dr, Suite 300, Richmond, KY 40475-8321 | 2006-03-23 |
| 1114998564 | Gary Franklin | Durable Medical Equipment & Medical Supplies | 1090 Chester Blvd, Richmond, IN 47374-1902 | 2006-02-01 |
| 1558568832 | The Laurels of Bon Air, LLC | Durable Medical Equipment & Medical Supplies | 9101 Bon Air Crossings Drive, Richmond, VA 23235 | 2007-06-29 |
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|---|---|---|---|---|
| 1124579024 | Continuumrx Inc | Durable Medical Equipment & Medical Supplies | 14303 Sullyfield Cir Ste C, Chantilly, VA 20151-1631 | 2016-10-17 |
| 1205215597 | Prosynthesis Laboratories, Inc. | Durable Medical Equipment & Medical Supplies | 45975 Nokes Blvd, Ste 170, Sterling, VA 20166-6554 | 2015-05-20 |
| 1316324767 | Rose Ricks | Durable Medical Equipment & Medical Supplies | 2816 Aspen Grove Ct Nw, Roanoke, VA 24017-3160 | 2015-05-05 |
| 1245401769 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 4102 Lafayette Blvd, Unit 17, Fredericksburg, VA 22408-4230 | 2008-03-13 |
| 1861687279 | Acariahealth Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2924 Telestar Ct, Falls Church, VA 22042-1206 | 2007-09-10 |
| 1083793350 | Homechoice Partners Inc | Durable Medical Equipment & Medical Supplies | 7400 Sunnybrook Dr, Ste 1, Roanoke, VA 24019-4269 | 2006-11-06 |
| 1659478733 | Williamson Drug Company, LLC | Durable Medical Equipment & Medical Supplies | 1572 E Parham Rd, Henrico, VA 23228 | 2006-09-20 |
| 1871690800 | Williamson Drug Company, Incorporated | Durable Medical Equipment & Medical Supplies | 2550 Ellsmere Ave, Suite F, Norfolk, VA 23513-2413 | 2006-09-20 |
| 1740388560 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 1010 Old Denbigh Blvd, Newport News, VA 23602-2017 | 2006-09-20 |
| 1174632756 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 5151 Starkey Rd, Ste B, Roanoke, VA 24018-9355 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
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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.