MEDICARE: HAMPTON ROADS CARE AT HOME 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	:	1346183936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMPTON ROADS CARE AT HOME LLC

Provider Business Mailing Address
First Line	:	44 FRANKTOWN RD
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23663-1054
Country	:	US
Telephone Number	:	757-597-4313
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 FRANKTOWN RD
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23663-1054
Country	:	US
Telephone Number	:	757-597-4313
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NATASHA RANDOLPH
Credential	:
Telephone Number	:	757-597-4313

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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