Healthcare Provider Details

I. General information

NPI: 1841799731
Provider Name (Legal Business Name): ACT OF KINDNESS HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2018
Last Update Date: 02/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11015 WARWICK BLVD STE 113
NEWPORT NEWS VA
23601-3225
US

IV. Provider business mailing address

11015 WARWICK BLVD STE 113
NEWPORT NEWS VA
23601-3225
US

V. Phone/Fax

Practice location:
  • Phone: 757-744-9695
  • Fax:
Mailing address:
  • Phone: 757-744-9695
  • Fax:

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: ERICA GRAY
Title or Position: PROGRAM ADMINISTRATOR
Credential:
Phone: 757-744-9695