Healthcare Provider Details

I. General information

NPI: 1972312254
Provider Name (Legal Business Name): DAY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 INDEPENDENCE BLVD STE 242
VIRGINIA BEACH VA
23462-5475
US

IV. Provider business mailing address

291 INDEPENDENCE BLVD STE 242
VIRGINIA BEACH VA
23462-5475
US

V. Phone/Fax

Practice location:
  • Phone: 757-777-4825
  • Fax: 757-681-9119
Mailing address:
  • Phone: 757-777-4825
  • Fax: 757-681-9119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: AUDREY WALDRON
Title or Position: OWNER
Credential:
Phone: 801-631-2163