THE LAURELS OF UNIVERSITY PARK – NPI #1558458893
Durable Medical Equipment & Medical Supplies

THE LAURELS OF UNIVERSITY PARK is a DME supplier located in RICHMOND, VA. NPPES has assigned the NPI number 1558458893 to THE LAURELS OF UNIVERSITY PARK on October 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE LAURELS OF UNIVERSITY PARK” is a dba name, the actual legal business name for this organization is THE LAURELS OF UNIVERSITY PARK, LLC. The primary taxonomy selected by this provider is 332BP3500X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE LAURELS OF UNIVERSITY PARK below.

NPI Profile for
THE LAURELS OF UNIVERSITY PARK, LLC

NPI Number
1558458893
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE LAURELS OF UNIVERSITY PARK, LLC
Doing Business As (dba): THE LAURELS OF UNIVERSITY PARK
Primary location
2420 PEMBERTON RD
RICHMOND, VA 23233-2006
Phone: (804) 747-9200 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIMOTHY PATTON
CFO
Phone: (614) 794-8800
Updated
Identifiers

Identifiers for THE LAURELS OF UNIVERSITY PARK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEM BC/BSVA221246
OTHERNH LICENSE #VANH2705
MEDICAIDVA4951093
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332BP3500X
- Durable Medical Equipment & Medical Supplies / Parenteral & Enteral Nutrition (Primary)
VA NH2705

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.