Healthcare Provider Details

I. General information

NPI: 1427311208
Provider Name (Legal Business Name): ALLEGIANCE HOME CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2012
Last Update Date: 12/21/2023
Certification Date: 12/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11832 CANON BLVD STE E
NEWPORT NEWS VA
23606-2580
US

IV. Provider business mailing address

11832 CANON BLVD STE E
NEWPORT NEWS VA
23606-2580
US

V. Phone/Fax

Practice location:
  • Phone: 757-325-2680
  • Fax: 757-265-0364
Mailing address:
  • Phone: 757-325-2680
  • Fax: 757-265-0364

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 Code251J00000X
TaxonomyNursing Care Agency
License Number0001157536
License Number StateVA

VIII. Authorized Official

Name: MS. SHEILA W EVERETT
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 757-325-2680