Healthcare Provider Details

I. General information

NPI: 1265349377
Provider Name (Legal Business Name): GIFTED SKILLS HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9221 FOREST HILL AVE STE 1
RICHMOND VA
23235-6876
US

IV. Provider business mailing address

1011 JOHN PAUL JONES DR
STAFFORD VA
22554-2130
US

V. Phone/Fax

Practice location:
  • Phone: 571-266-0633
  • Fax:
Mailing address:
  • Phone: 703-980-3314
  • 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 Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. MONICA L LOCKHART
Title or Position: MANAGER
Credential:
Phone: 703-980-3314