Healthcare Provider Details

I. General information

NPI: 1588402697
Provider Name (Legal Business Name): IRIE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2024
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5215 COLLEY AVE STE 126
NORFOLK VA
23508-2172
US

IV. Provider business mailing address

5215 COLLEY AVE STE 126
NORFOLK VA
23508-2172
US

V. Phone/Fax

Practice location:
  • Phone: 757-321-4946
  • Fax: 757-937-7256
Mailing address:
  • Phone:
  • 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: LATARSHA BATISTE ROACH
Title or Position: CEO
Credential:
Phone: 757-915-5853