Healthcare Provider Details

I. General information

NPI: 1306845979
Provider Name (Legal Business Name): HOME HEALTH CARE ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 09/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18981 JEB STUART HIGHWAY
STUART VA
24171-1157
US

IV. Provider business mailing address

PO BOX 1157
STUART VA
24171-1157
US

V. Phone/Fax

Practice location:
  • Phone: 276-694-7756
  • Fax: 276-694-7974
Mailing address:
  • Phone: 276-694-7756
  • Fax: 276-694-7974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JAMES WILLIAM WHITE
Title or Position: C.E.O.
Credential:
Phone: 276-694-7756