Healthcare Provider Details
I. General information
NPI: 1104731249
Provider Name (Legal Business Name): VILLAGE CAREGIVING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10401 MONTGOMERY PKWY NE # 2K
ALBUQUERQUE NM
87111-3876
US
IV. Provider business mailing address
650 MAIN ST
BARBOURSVILLE WV
25504-1439
US
V. Phone/Fax
- Phone: 505-549-2533
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOHN
ANDREW
HESS
Title or Position: GC
Credential:
Phone: 304-633-3446