| Care At Home Medical Practice Llc | |
|
510 S Sycamore St Ste 5 Petersburg VA 23803-5044 | |
| (310) 418-7250 | |
| Not Available |
| Full Name | Care At Home Medical Practice Llc |
|---|---|
| Speciality | General Practice |
| Location | 510 S Sycamore St Ste 5, Petersburg, Virginia |
| Authorized Official Name and Position | Rodney C Armstead (CEO) |
| Authorized Official Contact | 3104187250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care At Home Medical Practice Llc 564 Niagara St Bldg 2 Buffalo NY 14201-1108 Ph: (716) 324-5026 | Care At Home Medical Practice Llc 510 S Sycamore St Ste 5 Petersburg VA 23803-5044 Ph: (310) 418-7250 |
| NPI Number | 1518732692 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/20/2023 |
| Medicare PECOS PAC ID | 5698116861 |
|---|---|
| Medicare Enrollment ID | O20240520000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518732692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Rodney Armstead |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912258575 PECOS PAC ID: 7315330131 Enrollment ID: I20240520002466 |
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