Her Caring Heart, Llc | |
12231 Almer Ln Chester VA 23836-3070 | |
(804) 925-7600 | |
(804) 282-9135 |
Full Name | Her Caring Heart, Llc |
---|---|
Speciality | Nurse Practitioner |
Location | 12231 Almer Ln, Chester, Virginia |
Authorized Official Name and Position | Keisha Q James (SOLE MEMBER) |
Authorized Official Contact | 8049257600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Her Caring Heart, Llc 12231 Almer Ln Chester VA 23836-3070 Ph: (804) 925-7600 | Her Caring Heart, Llc 12231 Almer Ln Chester VA 23836-3070 Ph: (804) 925-7600 |
NPI Number | 1518727957 |
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Provider Enumeration Date | 03/21/2024 |
Last Update Date | 03/21/2024 |
Medicare PECOS PAC ID | 9931541224 |
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Medicare Enrollment ID | O20240531003515 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518727957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Provider Name | Keisha Q James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235660655 PECOS PAC ID: 8123395282 Enrollment ID: I20170522002081 |
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