Healthcare Provider Details

I. General information

NPI: 1740750694
Provider Name (Legal Business Name): LYNCHBURG SERVICES OF HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2018
Last Update Date: 12/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 LEESVILLE RD STE F
LYNCHBURG VA
24502-4939
US

IV. Provider business mailing address

519 LEESVILLE RD STE F
LYNCHBURG VA
24502-4939
US

V. Phone/Fax

Practice location:
  • Phone: 571-269-2545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: TENEISHA ABBITT
Title or Position: CEO
Credential:
Phone: 571-269-2545