Healthcare Provider Details

I. General information

NPI: 1205742277
Provider Name (Legal Business Name): IC DUNCAN HOME OF GUIDING HANDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6012 WESLEYAN DR
VIRGINIA BEACH VA
23455-4639
US

IV. Provider business mailing address

6012 WESLEYAN DR
VIRGINIA BEACH VA
23455-4639
US

V. Phone/Fax

Practice location:
  • Phone: 757-714-9375
  • Fax:
Mailing address:
  • Phone: 757-714-9375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: JAHTANYA SCOTT
Title or Position: OWNER
Credential:
Phone: 757-714-9375