Healthcare Provider Details

I. General information

NPI: 1750649182
Provider Name (Legal Business Name): POSITIVE IMPROVEMENT SITTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2012
Last Update Date: 08/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1246 WISECARVER RD
RUSTBURG VA
24588-4200
US

IV. Provider business mailing address

1246 WISECARVER RD
RUSTBURG VA
24588-4200
US

V. Phone/Fax

Practice location:
  • Phone: 434-420-2404
  • Fax:
Mailing address:
  • Phone: 434-420-2404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number6474
License Number StateVA

VIII. Authorized Official

Name: SHARON DESHAE HILLMAN
Title or Position: OWNER/MANAGER
Credential:
Phone: 434-420-2404