Healthcare Provider Details

I. General information

NPI: 1497700454
Provider Name (Legal Business Name): MEDI HOME HEALTH AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 INDEPENDENCE PKWY STE 200
CHESAPEAKE VA
23320-5203
US

IV. Provider business mailing address

PO BOX 1928
LEXINGTON SC
29071-1928
US

V. Phone/Fax

Practice location:
  • Phone: 757-420-7192
  • Fax: 757-420-0307
Mailing address:
  • Phone: 803-957-0500
  • Fax: 888-342-6190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINA M JEFFCOAT
Title or Position: COO/EXEC VP
Credential:
Phone: 803-957-0500