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Active NPI 1679110506 Organization (Entity Type 2)

David Herzka

Assisted Living Facility • Richmond, VA

About David Herzka NPI 1679110506 Summary

David Herzka is a verified healthcare organization specializing in Assisted Living Facility operating in Richmond, VA. Located at 12411 GAYTON RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1679110506.

Administrative operations and authorized compliance are overseen by Julia King (Billing Supervisor).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

12411 Gayton Rd

Richmond, VA 232382272

Telephone 8047419494

Authorized Official Information

Authorized Contact Name

Julia King

Title / Role

Billing Supervisor

Official Telephone

8179337582

Facility Classifications & Specialties

Assisted Living Facility Primary Taxonomy

NUCC Taxonomy Code: 310400000X

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked

Occupational Therapist

Richmond, VA

View Practitioner Profile →

Occupational Therapist

Richmond, VA

View Practitioner Profile →
Michael Hockaday NPI 1942998323

Physical Therapy Assistant

Richmond, VA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active December 10, 2019

NPI status registered as active in NPPES database

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Updated Practice Location December 10, 2019

Registered at 12411 GAYTON RD, RICHMOND, VA 232382272 (Tel: 8047419494)

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Updated Business Mailing Address December 10, 2019

Registered at 516 SHADY OAKS TRL, BURLESON, TX 760282320 (Tel: 8179335432)

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Organization / Clinic Name Updated December 10, 2019

Operating as DAVID HERZKA

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2019

Assisted Living Facility

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Initial NPI Registration & Enumeration December 10, 2019

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1679110506
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: December 10, 2019
Last Update: December 10, 2019

Mailing Address

516 Shady Oaks Trl

Burleson, TX 760282320

Phone: 8179335432

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.