Healthcare Provider Details

I. General information

NPI: 1609626928
Provider Name (Legal Business Name): LIFE IS PRECIOUS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 CRAIG ST
NORFOLK VA
23523-1312
US

IV. Provider business mailing address

223 E CITY HALL AVE # 506
NORFOLK VA
23510-1724
US

V. Phone/Fax

Practice location:
  • Phone: 757-799-7522
  • Fax:
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: PRECIOUS ROSS
Title or Position: OWNER
Credential:
Phone: 757-799-7522