Healthcare Provider Details

I. General information

NPI: 1477335198
Provider Name (Legal Business Name): CLEAN HANDS PURE HEARTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2023
Last Update Date: 11/08/2025
Certification Date: 11/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4696 HONEYGROVE RD STE 102
VIRGINIA BEACH VA
23455-5900
US

IV. Provider business mailing address

4696 HONEYGROVE RD STE 102
VIRGINIA BEACH VA
23455-5900
US

V. Phone/Fax

Practice location:
  • Phone: 757-271-5507
  • Fax: 757-720-4068
Mailing address:
  • Phone: 757-271-5507
  • Fax: 757-720-4068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: SONYA KNIGHT
Title or Position: ADMINISTRATOR
Credential:
Phone: 757-271-5507