Healthcare Provider Details

I. General information

NPI: 1730785205
Provider Name (Legal Business Name): ADORATION HOME HEALTH CARE VIRGINIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2020
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 CHARTER ST STE C
ALBEMARLE NC
28001-8690
US

IV. Provider business mailing address

805 N WHITTINGTON PKWY
LOUISVILLE KY
40222-7101
US

V. Phone/Fax

Practice location:
  • Phone: 704-230-1985
  • Fax:
Mailing address:
  • Phone: 502-630-7424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MARGARET S PEMBERTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 502-394-2321