Healthcare Provider Details

I. General information

NPI: 1326792193
Provider Name (Legal Business Name): AFFIRMATIVE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 07/14/2022
Certification Date: 07/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

464 INVESTORS PL STE 204L
VIRGINIA BEACH VA
23452-1167
US

IV. Provider business mailing address

464 INVESTORS PL STE 204L
VIRGINIA BEACH VA
23452-1167
US

V. Phone/Fax

Practice location:
  • Phone: 757-612-4352
  • Fax: 757-210-4214
Mailing address:
  • Phone: 757-612-4352
  • Fax: 757-210-4214

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. JENNIFER B TURNER
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 757-612-4352