Healthcare Provider Details

I. General information

NPI: 1952547614
Provider Name (Legal Business Name): DUE SEASON HOSPICE AND HOMECARE AGENCY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2008
Last Update Date: 12/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3806 CHAMBERLAYNE AVE STE 18A
RICHMOND VA
23227-4110
US

IV. Provider business mailing address

3806 CHAMBERLAYNE AVE STE 18A
RICHMOND VA
23227-4110
US

V. Phone/Fax

Practice location:
  • Phone: 804-400-6479
  • Fax:
Mailing address:
  • Phone: 804-400-6479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LESA ANN JACOBS
Title or Position: CLINICAL DIRECTOR
Credential: RN
Phone: 910-734-0949