# OLD GLORY HOME HEALTH CARE & ASSISTIVE CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043900418
- **Authorized official:** KIM FOSTER (OWNER)
- **Authorized official phone:** (804) 599-7868

## Contact information

- **Practice address:** 2108 W LABURNUM AVE STE 230, RICHMOND, VA 23227-4300
- **Practice address phone:** (804) 599-7868
- **Mailing address:** 2108 W LABURNUM AVE STE 230, SUITE 230, RICHMOND, VA 23227-4300
- **Mailing address phone:** (804) 269-0637
- **Mailing address fax:** (804) 441-7346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/10/2023
- **Last updated:** 06/02/2026