SERVITIUM MED VA, LLC (NPI# 1801328810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801328810 |
| Entity Type | Organization |
| Organization Name | SERVITIUM MED VA, LLC |
| Practice Address |
4445 Corporation Lane Suite 291 Virginia Beach VA 23462 |
| Practice Telephone | 8552104002 |
| Mailing Telephone | 8552104002 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | NEIL FRANCIS COSTELLO (MANAGER) |
| Authorized Official Telephone | 8552104002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
4445 CORPORATION LANE SUITE 291 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| 1386093045 | Margaret Jean (peg) Jensen | Counselor | 821 Baker Rd, Virginia Beach, VA 23462 | 2016-06-03 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214722 | Norman H Williams | Durable Medical Equipment & Medical Supplies | 966 Hunley Dr, Virginia Beach, VA 23462-5274 | 2020-08-06 |
| 1154966166 | Creative Images | Durable Medical Equipment & Medical Supplies | 5041 Corporate Woods Dr Ste 170, Virginia Beach, VA 23462-4381 | 2019-11-13 |
| 1861957458 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1069 Independence Blvd, Virginia Beach, VA 23455-5523 | 2019-02-07 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1275004673 | Core Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2900 Chestnut Oak Way, Virginia Beach, VA 23453-7091 | 2018-12-10 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1437652823 | Beach Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 2256 W. Great Neck Rd, Virginia Beach, VA 23451 | 2018-03-13 |
| 1811495260 | Hkm Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 900 Commonwealth Pl Ste 200, Virginia Beach, VA 23464-4530 | 2018-01-30 |
| 1962954453 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 546 First Colonial Rd, Virginia Beach, VA 23451-6120 | 2016-10-31 |
| 1588057368 | Orthofit, Inc | Durable Medical Equipment & Medical Supplies | 3200 Dam Neck Rd Ste 112, Virginia Beach, VA 23453-2632 | 2015-03-18 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
Please comment or provide details below to improve the information on SERVITIUM MED VA, LLC.
| 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.