Healthcare Provider Details

I. General information

NPI: 1487376265
Provider Name (Legal Business Name): KATIE'S CAREGIVING SERVICES/NEEDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 09/27/2022
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 LYNVILLE FORD RD
GOODVIEW VA
24095-2478
US

IV. Provider business mailing address

1208 LYNVILLE FORD RD
GOODVIEW VA
24095-2478
US

V. Phone/Fax

Practice location:
  • Phone: 540-597-2856
  • Fax:
Mailing address:
  • Phone: 540-597-2856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHRYN LOUISE HUDSON
Title or Position: CAREGIVER/OWNER
Credential: PCA
Phone: 540-597-2856