Healthcare Provider Details

I. General information

NPI: 1639262892
Provider Name (Legal Business Name): CALVERT HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 THIMBLE SHOALS BLVD STE 350
NEWPORT NEWS VA
23606-2572
US

IV. Provider business mailing address

401 E PRATT ST STE 253
BALTIMORE MD
21202-3041
US

V. Phone/Fax

Practice location:
  • Phone: 757-873-3315
  • Fax: 757-873-3281
Mailing address:
  • Phone: 410-230-0001
  • Fax: 410-230-0031

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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH D. PETTI
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 410-230-0001