Healthcare Provider Details

I. General information

NPI: 1427936160
Provider Name (Legal Business Name): ELLA'S ELEGANT HANDS HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3212 CHURCHLAND BLVD STE 8
CHESAPEAKE VA
23321-5262
US

IV. Provider business mailing address

3212 CHURCHLAND BLVD STE 8G
CHESAPEAKE VA
23321-5262
US

V. Phone/Fax

Practice location:
  • Phone: 757-277-5373
  • Fax: 757-935-0481
Mailing address:
  • Phone: 757-690-5155
  • Fax: 757-935-0481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: DEMETRIA BLACK
Title or Position: ADMINISTRATOR
Credential:
Phone: 757-690-5155