Healthcare Provider Details

I. General information

NPI: 1023364320
Provider Name (Legal Business Name): THE HELP HOME HEALTH CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2012
Last Update Date: 08/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

174 E WASHINGTON ST SUITE C
SUFFOLK VA
23434-4536
US

IV. Provider business mailing address

174 E WASHINGTON ST SUITE C
SUFFOLK VA
23434-4536
US

V. Phone/Fax

Practice location:
  • Phone: 757-372-5699
  • Fax:
Mailing address:
  • Phone: 757-372-5699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0001220424
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number0001220424
License Number StateVA

VIII. Authorized Official

Name: MRS. LATONJA BARNES JONES
Title or Position: R.N.
Credential:
Phone: 757-372-5699