MEDICARE: HOME HEALTH CARE ASSOCIATES, INC.

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	LICENSE EXEMPT	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306845979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH CARE ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 1157
Second Line	:
City	:	STUART
State	:	VA
Zip	:	24171-1157
Country	:	US
Telephone Number	:	276-694-7756
Fax Number	:	276-694-7974

Provider Business Practice Location Address
First Line	:	18981 JEB STUART HIGHWAY
Second Line	:
City	:	STUART
State	:	VA
Zip	:	24171-1157
Country	:	US
Telephone Number	:	276-694-7756
Fax Number	:	276-694-7974

Authorized Official
Title or Position	:	C.E.O.
Name	:	MR. JAMES WILLIAM WHITE
Credential	:
Telephone Number	:	276-694-7756

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	09/29/2010

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