MEDICARE: RESILIENT HEALTH CARE SUPPORT, 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1770417156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILIENT HEALTH CARE SUPPORT, INC.

Provider Business Mailing Address
First Line	:	3321 W MERCURY BLVD STE B
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-3806
Country	:	US
Telephone Number	:	240-314-9493
Fax Number	:

Provider Business Practice Location Address
First Line	:	3321 W MERCURY BLVD STE B
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-3806
Country	:	US
Telephone Number	:	240-314-9493
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	NEBA FOLEM
Credential	:
Telephone Number	:	240-314-9493

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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