Healthcare Provider Details

I. General information

NPI: 1972737518
Provider Name (Legal Business Name): TAMAR HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2009
Last Update Date: 07/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 BUTLER ST SUITE 20
CHESAPEAKE VA
23323-3404
US

IV. Provider business mailing address

801 BUTLER ST SUITE 20
CHESAPEAKE VA
23323-3404
US

V. Phone/Fax

Practice location:
  • Phone: 757-831-2968
  • Fax: 757-436-5410
Mailing address:
  • Phone: 757-831-2968
  • Fax: 757-436-5410

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHARITY DENISE FORD
Title or Position: PRESIDENT
Credential: MSW
Phone: 757-831-2968