Healthcare Provider Details

I. General information

NPI: 1730078254
Provider Name (Legal Business Name): PERSON CENTERED HEALTHCARE SERVICES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5317 COTTAGE CT
VIRGINIA BEACH VA
23462-1989
US

IV. Provider business mailing address

5317 COTTAGE CT
VIRGINIA BEACH VA
23462-1989
US

V. Phone/Fax

Practice location:
  • Phone: 310-706-8034
  • Fax:
Mailing address:
  • Phone: 310-706-8034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. VICTOR ADANRI
Title or Position: CEO
Credential:
Phone: 310-706-8034