Healthcare Provider Details

I. General information

NPI: 1346183936
Provider Name (Legal Business Name): HAMPTON ROADS CARE AT HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 FRANKTOWN RD
HAMPTON VA
23663-1054
US

IV. Provider business mailing address

44 FRANKTOWN RD
HAMPTON VA
23663-1054
US

V. Phone/Fax

Practice location:
  • Phone: 757-597-4313
  • Fax:
Mailing address:
  • Phone: 757-272-1663
  • Fax: 757-273-6496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: NATASHA RANDOLPH
Title or Position: CEO
Credential:
Phone: 757-597-4313