PATRICK HENRY HOSPITAL, INC. (NPI# 1629184072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629184072 |
| Entity Type | Organization |
| Organization Name | PATRICK HENRY HOSPITAL, INC. |
| Other Organization Name | RIVERSIDE ADULT DAYCARE, WILLIAMSBURG |
| Practice Address |
3435 John Tyler Hwy Building 2, Suite A Williamsburg VA 23185-1457 |
| Mailing Address |
608 Denbigh Blvd Suite 600 Newport News VA 23608-4410 |
| Practice Telephone | 7575655305 |
| Practice Fax Number | 7578752070 |
| Mailing Telephone | 7578752023 |
| Mailing Fax Number | 7578752016 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-10-12 |
| Authorized Official Name | MR. DAVID TATE (SENIOR VP, LTC) |
| Authorized Official Telephone | 7578752050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
PL005216 | VA | Suppliers |
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
PL005216 | VA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Riverside Adult Daycare, Williamsburg | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740388560 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 1010 Old Denbigh Blvd, Newport News, VA 23602-2017 | 2006-09-20 |
| 1255448379 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 603 Main St., Mathews, VA 23109 | 2006-08-24 |
| 1205942703 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 20 Delfae Dr, Warsaw, VA 22572-4281 | 2006-08-21 |
| 1588779193 | Patrick Henry Hospital, Inc. | Nursing Facility/Intermediate Care Facility | 200 Lumar Rd, Smithfield, VA 23430-1521 | 2006-08-21 |
| 1225143498 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 672 Gloucester Rd, Saluda, VA 23149 | 2006-08-20 |
| 1194830703 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 2960 Chelsea Rd, West Point, VA 23181-9793 | 2006-08-21 |
| Street Address |
3435 JOHN TYLER HWY BUILDING 2, SUITE A |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23185-1457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579412 | Marian Shearin | Technician | 112 Indian Circle, Williamsburg, VA 23185 | 2019-10-09 |
| 1093363251 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 | 2019-08-30 |
| 1265939482 | Michelle Antionette Hill | Counselor | 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 | 2018-04-13 |
| 1114437480 | Kimberly Anne Allan | Orthotic Fitter | 1811 Jamestown Rd., Williamsburg, VA 23185 | 2017-10-02 |
| 1881115590 | Shawn Patrick Mcnulty | Counselor | Colonial Behavioral Health, 1657 Merrimac Trail, Williamsburg, VA 23185 | 2017-07-03 |
| 1790215986 | Sea Change Therapy Pllc | Community/Behavioral Health | 3308 Ash Vw, Williamsburg, VA 23185 | 2017-06-19 |
| 1316479322 | Maureen Bounds | Pharmacist | 230 Gooch Dr, Williamsburg, VA 23185 | 2017-03-29 |
| 1386196970 | Joshua Desilva | Psychologist | 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 | 2016-10-29 |
| 1750837001 | Ellen Lerose | Pharmacist | 5601-b Richmond Road, Williamsburg, VA 23185 | 2016-08-28 |
| 1194173922 | Michael C. Shuck, Dds PC | Dentist | 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 | 2016-06-02 |
| Find all providers in zip 23185 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674199 | Brighter Prospective Residential Services, LLC | Clinic/Center | 2509 Tonoka Rd, Richmond, VA 23223-1739 | 2020-09-19 |
| 1396368288 | Tisha L Gholson | Clinic/Center | 4600 Winterbourne Dr, South Chesterfield, VA 23803-1727 | 2020-05-26 |
| 1457973588 | Ralpheana Denee Lawton | Clinic/Center | 2317 Richmond Ave, Portsmouth, VA 23704 | 2020-05-12 |
| 1861024317 | Semmes Ave Adult Daycare | Clinic/Center | 1500 Semmes Ave, Richmond, VA 23224-2072 | 2020-02-12 |
| 1033749445 | Vector Pathways LLC | Clinic/Center | 1300 Hopeman Pkwy, Waynesboro, VA 22980-1950 | 2020-01-24 |
| 1720618184 | Egbert Charles Mcfarlane | Clinic/Center | 1314 E Nine Mile Rd, Henrico, VA 23075-2306 | 2020-01-23 |
| 1205472586 | Oneda Care LLC | Clinic/Center | 5900 Brook Rd, Richmond, VA 23227-2258 | 2019-11-21 |
| 1760039010 | Christine Blair-wallace | Clinic/Center | 788 Bellwood Rd, Hampton, VA 23666-2806 | 2019-08-21 |
| 1801443403 | Cura Solutions LLC | Clinic/Center | 4312 Welford Ave, Richmond, VA 23234-2357 | 2019-08-20 |
| 1336793736 | Ebenezery Adult Day Services, LLC | Clinic/Center | 6321 Jahnke Rd, Richmond, VA 23225-4142 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23185 |
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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.