Healthcare Provider Details

I. General information

NPI: 1033906920
Provider Name (Legal Business Name): PROMISE & PURPOSE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4602 WESTGROVE CT STE B
VIRGINIA BEACH VA
23455-5458
US

IV. Provider business mailing address

1704 AQUAMARINE DR
VIRGINIA BEACH VA
23456-1339
US

V. Phone/Fax

Practice location:
  • Phone: 757-359-3523
  • Fax:
Mailing address:
  • Phone: 757-987-2804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CANDICE BROWN
Title or Position: CEO
Credential:
Phone: 757-359-3523