Provider Demographics
NPI:1053559955
Name:REMEDI SENIORCARE OF VIRGINIA LLC
Entity type:Organization
Organization Name:REMEDI SENIORCARE OF VIRGINIA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF LICENSING
Authorized Official - Prefix:MS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-632-1208
Mailing Address - Street 1:1 OLYMPIC PL STE 600
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4110
Mailing Address - Country:US
Mailing Address - Phone:436-321-2084
Mailing Address - Fax:443-873-5306
Practice Address - Street 1:10448 LAKERIDGE PARKWAY
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-8124
Practice Address - Country:US
Practice Address - Phone:804-550-4856
Practice Address - Fax:804-550-2575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPENDINGOtherPHARMACY LICENSE
VAPENDINGOtherPHARMACY LICENSE