Healthcare Provider Details

I. General information

NPI: 1659753242
Provider Name (Legal Business Name): HOME HEALTH PLUS OF VIRGINIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2015
Last Update Date: 02/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 ARLINGTON BLVD SUITE 100
CHARLOTTESVILLE VA
22903-1533
US

IV. Provider business mailing address

1924 ARLINGTON BLVD SUITE 100
CHARLOTTESVILLE VA
22903-1533
US

V. Phone/Fax

Practice location:
  • Phone: 434-984-0303
  • Fax: 434-984-0330
Mailing address:
  • Phone: 434-984-0303
  • Fax: 434-984-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LAURA COLEMAN
Title or Position: OWNER
Credential: PT
Phone: 434-984-0303