Healthcare Provider Details

I. General information

NPI: 1972423390
Provider Name (Legal Business Name): XCLNC HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 25TH ST
NEWPORT NEWS VA
23607-5509
US

IV. Provider business mailing address

1915 25TH ST
NEWPORT NEWS VA
23607-5509
US

V. Phone/Fax

Practice location:
  • Phone: 757-510-2469
  • Fax: 757-527-2275
Mailing address:
  • Phone: 757-510-2469
  • Fax: 757-527-2275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MISS JADA MEREDITH
Title or Position: MANAGER
Credential:
Phone: 757-510-2469