Healthcare Provider Details

I. General information

NPI: 1578492393
Provider Name (Legal Business Name): MILESTONES COMMUNITY HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 GITTINGS ST STE 100C
SUFFOLK VA
23434-6155
US

IV. Provider business mailing address

707 GITTINGS ST STE 100C
SUFFOLK VA
23434-6155
US

V. Phone/Fax

Practice location:
  • Phone: 757-338-1064
  • Fax:
Mailing address:
  • Phone: 757-338-1064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LAKEISHA NICOLE WILLIAMS
Title or Position: CEO
Credential:
Phone: 757-338-1064