Healthcare Provider Details

I. General information

NPI: 1437556743
Provider Name (Legal Business Name): HOBBY HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2014
Last Update Date: 12/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7641 HULL STREET RD SUITE 100
NORTH CHESTERFIELD VA
23235-6444
US

IV. Provider business mailing address

7641 HULL STREET RD SUITE 100
NORTH CHESTERFIELD VA
23235-6444
US

V. Phone/Fax

Practice location:
  • Phone: 804-382-0655
  • Fax: 804-276-4607
Mailing address:
  • Phone: 804-382-0655
  • Fax: 804-276-4607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCO151191
License Number StateVA

VIII. Authorized Official

Name: LORNA HOBSON
Title or Position: DIRECTOR
Credential:
Phone: 804-382-0655