MEDICARE: ASHBY HOME HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1093282139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHBY HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	464 INVESTORS PL STE 206B
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1167
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	464 INVESTORS PL STE 206B
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1167
Country	:	US
Telephone Number	:	202-556-9830
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	RONDA MCCREE
Credential	:
Telephone Number	:	202-556-9830

Provider Enumeration Date	:	10/26/2018
Last Update Date	:	10/26/2018

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