CCN: 497808 NPI: 1043900418 Organization

OLD GLORY HOME HEALTH CARE & ASSISTIVE CARE

2108 W LABURNUM AVE STE 230
RICHMOND, VA 232274300

Contact Information

Phone 8045997868
Enumeration Date 2023-05-10
Last Updated 2023-12-12

Taxonomies

Code: 253Z00000X
Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 40060

providerType 36

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 36

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 36

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 11302

localityCode 00