Healthcare Provider Details

I. General information

NPI: 1457884678
Provider Name (Legal Business Name): HOME CARE DELIVERED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2017
Last Update Date: 02/05/2025
Certification Date: 12/19/2023
Deactivation Date: 01/22/2025
Reactivation Date: 02/05/2025

III. Provider practice location address

71 COMMERCE DR
CLARKSVILLE VA
23927-2955
US

IV. Provider business mailing address

11013 W BROAD ST FL 4
GLEN ALLEN VA
23060-6017
US

V. Phone/Fax

Practice location:
  • Phone: 800-565-6167
  • Fax: 888-565-4411
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LISA WONG
Title or Position: GENERAL COUNSEL
Credential:
Phone: 804-200-7348