MEDICARE: ALL-EN HOME 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1235893215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL-EN HOME CARE LLC

Provider Business Mailing Address
First Line	:	603 BRISA CT
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23322-7157
Country	:	US
Telephone Number	:	757-235-6907
Fax Number	:

Provider Business Practice Location Address
First Line	:	5250 CHALLEDON DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6304
Country	:	US
Telephone Number	:	757-235-6907
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. RACHELLE SHAKIA ALLEN
Credential	:	RN
Telephone Number	:	757-235-6907

Provider Enumeration Date	:	10/26/2021
Last Update Date	:	10/26/2021

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