Healthcare Provider Details

I. General information

NPI: 1366680944
Provider Name (Legal Business Name): S&G HOME IMPROVEMENTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2009
Last Update Date: 02/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 KINGSWOOD PL
VIRGINIA BEACH VA
23452-4115
US

IV. Provider business mailing address

429 KINGSWOOD PL
VIRGINIA BEACH VA
23452-4115
US

V. Phone/Fax

Practice location:
  • Phone: 757-271-5909
  • Fax:
Mailing address:
  • Phone: 757-271-5909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number111394-1700
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number111394-1700
License Number StateVA

VIII. Authorized Official

Name: MRS. GINA BARRACA ROGERS
Title or Position: OWNER
Credential:
Phone: 757-271-5909