MEDICARE: ELLA'S ELEGANT HANDS HOMECARE 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	253Z00000X	In Home Supportive Care Agency
4	343900000X	Non-emergency Medical Transport (VAN)
5	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1427936160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELLA'S ELEGANT HANDS HOMECARE LLC

Provider Business Mailing Address
First Line	:	3212 CHURCHLAND BLVD STE 8G
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-5262
Country	:	US
Telephone Number	:	757-690-5155
Fax Number	:	757-935-0481

Provider Business Practice Location Address
First Line	:	3212 CHURCHLAND BLVD STE 8
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-5262
Country	:	US
Telephone Number	:	757-277-5373
Fax Number	:	757-935-0481

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DEMETRIA BLACK
Credential	:
Telephone Number	:	757-690-5155

Provider Enumeration Date	:	08/21/2025
Last Update Date	:	01/09/2026

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Directions to “ELLA'S ELEGANT HANDS HOMECARE LLC ” Practice Location

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