Healthcare Provider Details

I. General information

NPI: 1548843402
Provider Name (Legal Business Name): HEARTS OF JOY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 04/29/2021
Certification Date: 04/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E LITTLE CREEK RD STE 210
NORFOLK VA
23518-4137
US

IV. Provider business mailing address

1500 E LITTLE CREEK RD STE 210
NORFOLK VA
23518-4137
US

V. Phone/Fax

Practice location:
  • Phone: 757-937-1202
  • Fax: 757-937-1258
Mailing address:
  • Phone: 757-937-1202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CERISE COVINGTON
Title or Position: OWNER
Credential:
Phone: 757-937-1202