Healthcare Provider Details

I. General information

NPI: 1336969005
Provider Name (Legal Business Name): BATVOK HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2024
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4410 CLAIBORNE SQ E STE 334
HAMPTON VA
23666-2074
US

IV. Provider business mailing address

4410 CLAIBORNE SQ E STE 334
HAMPTON VA
23666-2074
US

V. Phone/Fax

Practice location:
  • Phone: 757-303-9339
  • Fax: 757-275-8988
Mailing address:
  • Phone: 757-303-9339
  • Fax: 757-275-8988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ALEXIS ARIELLE BRYANT
Title or Position: OWNER
Credential:
Phone: 757-303-9339