Healthcare Provider Details

I. General information

NPI: 1023825551
Provider Name (Legal Business Name): CAREPANION GROUP HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 ARBOR OAK DR STE 302
ASHLAND VA
23005-2261
US

IV. Provider business mailing address

100 ARBOR OAK DR STE 302
ASHLAND VA
23005-2261
US

V. Phone/Fax

Practice location:
  • Phone: 804-997-6175
  • Fax: 804-368-8486
Mailing address:
  • Phone: 804-997-6175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LATOYA HENDERSON
Title or Position: MANAGING MEMBER
Credential:
Phone: 804-997-6175