Healthcare Provider Details

I. General information

NPI: 1114433240
Provider Name (Legal Business Name): HORIZONS HOME HEALTH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

646 PROSPERITY WAY STE E-3
CHESAPEAKE VA
23320-7029
US

IV. Provider business mailing address

646 PROSPERITY WAY STE E-3
CHESAPEAKE VA
23320-7029
US

V. Phone/Fax

Practice location:
  • Phone: 757-410-3449
  • Fax: 757-410-0510
Mailing address:
  • Phone: 757-410-3449
  • Fax: 757-410-0510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCO-1801
License Number StateVA

VIII. Authorized Official

Name: SHERRY P MARCANO
Title or Position: ADMINISTRATOR/OWNER
Credential: LCSW
Phone: 757-452-8080