Healthcare Provider Details

I. General information

NPI: 1922746007
Provider Name (Legal Business Name): A PASSION FOR PULSE'S HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 10/14/2022
Certification Date: 10/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4529 E HONEYGROVE RD STE 302
VIRGINIA BEACH VA
23455-6087
US

IV. Provider business mailing address

4529 E HONEYGROVE RD STE 302
VIRGINIA BEACH VA
23455-6087
US

V. Phone/Fax

Practice location:
  • Phone: 267-576-8542
  • Fax:
Mailing address:
  • Phone: 267-576-8542
  • 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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: YASMING BULLOCK
Title or Position: OWNER
Credential:
Phone: 267-576-8542