Healthcare Provider Details

I. General information

NPI: 1689641144
Provider Name (Legal Business Name): ADORATION HOME HEALTH CARE VIRGINIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 S NC HIGHWAY 119
MEBANE NC
27302-9738
US

IV. Provider business mailing address

PO BOX 18049
GREENSBORO NC
27419-8049
US

V. Phone/Fax

Practice location:
  • Phone: 336-538-1194
  • Fax: 800-311-7783
Mailing address:
  • Phone: 336-878-8824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARGARET S PEMBERTON
Title or Position: MANAGER
Credential:
Phone: 502-272-3466