Healthcare Provider Details

I. General information

NPI: 1053099515
Provider Name (Legal Business Name): LITTLE MORNINGS AT HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 07/06/2023
Certification Date: 06/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4109 MILLWOOD RD
CHESTER VA
23831-4639
US

IV. Provider business mailing address

4109 MILLWOOD RD
CHESTER VA
23831-4639
US

V. Phone/Fax

Practice location:
  • Phone: 703-307-8191
  • Fax:
Mailing address:
  • Phone: 804-802-2147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: DIANA LEE HUTCHINSON
Title or Position: OWNER
Credential:
Phone: 703-307-8191