# ADVANCED MEDIAID LLC

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

## Provider details

- **NPI number:** 1669155008
- **Authorized official:** MR. VIVIDH TALWAR (OWNER)
- **Authorized official phone:** (516) 859-0673

## Contact information

- **Practice address:** 8639 MAYLAND DR STE 104A, RICHMOND, VA 23294-4752
- **Practice address phone:** (804) 877-0999
- **Mailing address:** 8639 MAYLAND DR STE 104A, RICHMOND, VA 23294-4752
- **Mailing address phone:** (516) 859-0673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251E00000X | Home Health Agency | — | — | Yes |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 08/11/2023
- **Last updated:** 03/17/2026