Healthcare Provider Details

I. General information

NPI: 1760480388
Provider Name (Legal Business Name): HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26782 NORTH JAMES MADISON HWY
NEW CANTON VA
23123
US

IV. Provider business mailing address

PO BOX 177
ARVONIA VA
23004-0177
US

V. Phone/Fax

Practice location:
  • Phone: 434-581-3245
  • Fax: 434-581-1095
Mailing address:
  • Phone: 434-581-3245
  • Fax: 434-581-1095

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: MRS. CHARLOTTE ALVIS
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 434-581-3245