MEDICARE: YOUR FAMILY IS FAMILY HOME HEALTHCARE SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	385H00000X	Respite Care
3	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1104313055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR FAMILY IS FAMILY HOME HEALTHCARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	1311 HAFFORD RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-8609
Country	:	US
Telephone Number	:	757-938-8126
Fax Number	:

Provider Business Practice Location Address
First Line	:	1311 HAFFORD ROAD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464
Country	:	US
Telephone Number	:	757-938-8126
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	LASHAUN EDMONDS
Credential	:
Telephone Number	:	757-938-8126

Provider Enumeration Date	:	04/17/2018
Last Update Date	:	01/06/2023

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