Healthcare Provider Details

I. General information

NPI: 1306667449
Provider Name (Legal Business Name): ALLHEART HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2024
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1216 E LITTLE CREEK RD STE 200B
NORFOLK VA
23518-3900
US

IV. Provider business mailing address

8015 GALVESTON BLVD
NORFOLK VA
23505-1508
US

V. Phone/Fax

Practice location:
  • Phone: 919-247-4984
  • Fax: 434-208-2397
Mailing address:
  • Phone: 919-247-4984
  • Fax: 434-208-2397

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. RAPHERNEST ODOEMENE
Title or Position: CEO
Credential:
Phone: 919-247-4984