MEDICARE: A PLUS HOME HEALTH 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	251B00000X	Case Management Agency	HCO15875	VA
2	251E00000X	Home Health Agency	HCO15875	VA

General Provider Information

NPI Number	:	1508116922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLUS HOME HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	2317 WESTWOOD AVE
Second Line	:	SUITE 100-A
City	:	RICHMOND
State	:	VA
Zip	:	23230-4007
Country	:	US
Telephone Number	:	804-278-8782
Fax Number	:	804-278-8762

Provider Business Practice Location Address
First Line	:	2317 WESTWOOD AVE
Second Line	:	SUITE 100-A
City	:	RICHMOND
State	:	VA
Zip	:	23230-4007
Country	:	US
Telephone Number	:	804-278-8782
Fax Number	:	804-278-8762

Authorized Official
Title or Position	:	OWNER/CFO
Name	:	MR. ANDRE T GRANT
Credential	:
Telephone Number	:	804-278-8782

Provider Enumeration Date	:	09/13/2012
Last Update Date	:	01/14/2015

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