Healthcare Provider Details

I. General information

NPI: 1669944187
Provider Name (Legal Business Name): EXCELLENT HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2018
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5215 COLLEY AVE STE 105
NORFOLK VA
23508-2166
US

IV. Provider business mailing address

1971 E PEMBROKE AVE
HAMPTON VA
23663-1338
US

V. Phone/Fax

Practice location:
  • Phone: 757-725-0919
  • Fax:
Mailing address:
  • Phone: 757-725-0919
  • Fax: 757-224-5568

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 Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA A SNOW
Title or Position: OWNER
Credential:
Phone: 757-224-9732