Healthcare Provider Details
I. General information
NPI: 1851102164
Provider Name (Legal Business Name): FRANCISCAN SISTERS OF ST. JOSEPH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/16/2025
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6120 LEVEL GREEN CT
VIRGINIA BEACH VA
23464-4511
US
IV. Provider business mailing address
6120 LEVEL GREEN CT
VIRGINIA BEACH VA
23464-4511
US
V. Phone/Fax
- Phone: 757-974-8851
- Fax:
- Phone:
- 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 | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NANA
BOATENG
Title or Position: CONSULT
Credential:
Phone: 202-900-8873