Healthcare Provider Details

I. General information

NPI: 1639090459
Provider Name (Legal Business Name): KEMWOOD CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 MONTICELLO AVE STE 1802 #419913
NORFOLK VA
23510-2670
US

IV. Provider business mailing address

440 MONTICELLO AVE STE 1802 #419913
NORFOLK VA
23510
US

V. Phone/Fax

Practice location:
  • Phone: 571-690-2351
  • Fax:
Mailing address:
  • Phone: 571-690-2351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARTIN COGGINS
Title or Position: FOUNDER/CEO
Credential:
Phone: 571-690-2351