Healthcare Provider Details

I. General information

NPI: 1043156839
Provider Name (Legal Business Name): SACRED CIRCLE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 S INDEPENDENCE BLVD STE 203
VIRGINIA BEACH VA
23452-1150
US

IV. Provider business mailing address

505 S INDEPENDENCE BLVD STE 203
VIRGINIA BEACH VA
23452-1150
US

V. Phone/Fax

Practice location:
  • Phone: 757-304-0197
  • Fax:
Mailing address:
  • Phone: 757-304-0197
  • 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: LAQUISHA RHOADES
Title or Position: ADMINISTRATOR
Credential:
Phone: 702-415-0155