ELITE PRIMARY CARE AND TCM SERVICES LLC
NPI 1336832229
Nurse Practitioner - Gerontology in Richmond, VA

Active since May 29, 2023
4795 BETHLEHEM RD STE G, RICHMOND, VA 23230(804) 467-1628(804) 716-1311 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2024, May 29, 2023 (2 updates tracked since 2023).

About Elite Primary Care And Tcm Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE PRIMARY CARE AND TCM SERVICES LLC (NPI 1336832229) is a healthcare organization registered as a gerontology in Richmond, Virginia and active in the NPI registry since May 2023. The organization lists Angella Russell, Owner, as its authorized official.

NPPES Registry Identity

NPI1336832229
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameELITE PRIMARY CARE AND TCM SERVICES LLC
Location Address4795 BETHLEHEM RD STE GRichmond, VA 23230-2516
Mailing Address4795 Bethlehem Rd Ste GRichmond, VA 23230-2516 · (804) 467-1628 · Fax (804) 716-1311
Fax(804) 716-1311
Organization SubpartNo
Authorized OfficialAngella RussellOwner · (804) 467-1628
Enumeration DateMay 29, 2023
Last NPPES UpdateJuly 26, 20242 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
NPI 1336832229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
4795 BETHLEHEM RD STE G, Richmond, VA 23230

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Primary Care And Tcm Services LLC's NPI number?

The NPI number for Elite Primary Care And Tcm Services LLC is 1336832229. It was assigned to this organization in the NPPES registry on May 29, 2023.

Where is Elite Primary Care And Tcm Services LLC located?

Elite Primary Care And Tcm Services LLC is located at 4795 Bethlehem Rd Ste G, Richmond, VA 23230. The listed phone number is (804) 467-1628.

What is Elite Primary Care And Tcm Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Elite Primary Care And Tcm Services LLC was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.