DAVID HERZKA (NPI# 1679110506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679110506 |
| Entity Type | Organization |
| Organization Name | DAVID HERZKA |
| Practice Address |
12411 Gayton Rd Richmond VA 23238-2272 |
| Mailing Address |
516 Shady Oaks Trl Burleson TX 76028-2320 |
| Practice Telephone | 8047419494 |
| Mailing Telephone | 8179335432 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | JULIA KING (BILLING SUPERVISOR) |
| Authorized Official Telephone | 8179337582 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| Other Name | Type Code |
|---|---|
| Blue Ridge Senior Living of Richmond | Other Name - Individual/Organization |
| Richmond ALF Operations LLC | Doing Business As Name - Organization |
| Street Address |
12411 GAYTON RD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23238-2272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497028641 | Cheryl Lynn Dorman Fidler | Occupational Therapist | 12411 Gayton Rd, Richmond, VA 23238-2272 | 2012-02-20 |
| 1396135380 | Sanmar Realty Richmond, LLC | Assisted Living Facility | 12411 Gayton Rd, Richmond, VA 23238-2272 | 2015-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921627 | Acorn Pediatrics, Inc | Pediatrics | 2610-b Gaskins Road, Henrico, VA 23238 | 2020-08-07 |
| 1093378028 | Neepaben C Patel | Physical Therapist | 2620 A Gaskins Rd, Henrico, VA 23238 | 2019-04-16 |
| 1598246530 | Mohini T Chandra | Occupational Therapist | 1900 Lakewood Drive, Richmond, VA 23238 | 2018-08-28 |
| 1275035743 | Henry Davis Holland Jr. | Speech-Language Pathologist | 1773 Robins Nest Ct., Henrico, VA 23238 | 2018-03-01 |
| 1811352651 | Taylor Krafcik | Acupuncturist | 10617 Patterson Ave, Henrico, VA 23238 | 2015-12-21 |
| 1245603430 | Ashley Sharice Crawley | Physical Therapist | 1209 Falstaff Court, Henrico, VA 23238 | 2015-11-10 |
| 1174966832 | Milton Alexander Boyd | Internal Medicine | 1531 Monmouth Pl, Richmond, VA 23238 | 2013-04-12 |
| 1760778534 | Terri Esposito | Physical Therapist | 1600 John Rolfe Pkwy., Richmond, VA 23238 | 2011-06-21 |
| 1073841649 | Pulmonary Assessments | Clinic/Center | 149 West Square Ct, Richmond, VA 23238 | 2009-11-19 |
| 1538329156 | Michael B Holbert | Dentist | 2620-b Gaskins Road, Richmond, VA 23238 | 2008-06-17 |
| Find all providers in zip 23238 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143083 | Rumd Inc | Assisted Living Facility | 25155 Fulshear Gaston Rd, Richmond, TX 77406-7740 | 2020-08-06 |
| 1306462551 | Lillian W Oliver | Assisted Living Facility | 5606 Drumlin Field Way, Richmond, TX 77407-1466 | 2020-06-24 |
| 1508380601 | Salem Seyoum | Assisted Living Facility | 11210 Mellingshaw Ln, Richmond, TX 77407-1852 | 2017-07-31 |
| 1710358148 | Forever Living Assistant Care Home Corp. | Assisted Living Facility | 3701 Crestview Rd, Richmond, VA 23223-8107 | 2015-10-12 |
| 1528443892 | Senior Suites At The Leland | Assisted Living Facility | 900 South 'a' Street, Richmond, IN 47374-3072 | 2015-07-28 |
| 1922496181 | Brittnii Roots | Assisted Living Facility | 113 Shreveport Rd, Richmond, VA 23223-3394 | 2014-12-22 |
| 1629408513 | Saint Francis Home | Assisted Living Facility | 65 W Clopton St, Richmond, VA 23225-3957 | 2013-11-14 |
| 1558652909 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 150 Barry Ave Nw, Richmond, MN 56368-4560 | 2011-04-20 |
| 1255620431 | Lamplight Inn At The Leland, LLC | Assisted Living Facility | 900 S A St, Richmond, IN 47374-5558 | 2011-03-28 |
| 1972807808 | Maggie's Homes | Assisted Living Facility | 2800 Santa Clara St, Richmond, CA 94804-5928 | 2011-01-06 |
| Find all providers in RICHMOND | ||||
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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.