Healthcare Provider Details
I. General information
NPI: 1598697583
Provider Name (Legal Business Name): LONG SHIP SERVICES LLC DBA ACTI-KARE RESPONSIVE IN-HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3805 LONG SHIP CT
VIRGINIA BEACH VA
23455-1678
US
IV. Provider business mailing address
3805 LONG SHIP CT
VIRGINIA BEACH VA
23455-1678
US
V. Phone/Fax
- Phone: 757-392-7635
- Fax:
- Phone: 757-770-3452
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIAN
KLOEKER
Title or Position: AREA DIRECTOR
Credential:
Phone: 757-770-3452