# BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Bon Secours Home Based Primary Care and Supportive Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548779812
- **Authorized official:** STEPHEN QUIRICONI (CFO)
- **Authorized official phone:** (804) 281-8301

## Contact information

- **Practice address:** 5855 BREMO RD STE 403, RICHMOND, VA 23226-1924
- **Practice address phone:** (804) 266-2222
- **Practice address fax:** (804) 281-8535
- **Mailing address:** 8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
- **Mailing address phone:** (804) 627-5573
- **Mailing address fax:** (866) 449-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2017
- **Last updated:** 02/13/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C06778 | MEDICARE PTAN | VA |