Healthcare Provider Details

I. General information

NPI: 1518883032
Provider Name (Legal Business Name): HANDS ON HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5032 KEMPS LAKE DR
VIRGINIA BEACH VA
23462-4388
US

IV. Provider business mailing address

5032 KEMPS LAKE DR
VIRGINIA BEACH VA
23462-4388
US

V. Phone/Fax

Practice location:
  • Phone: 757-663-7100
  • Fax: 571-430-2234
Mailing address:
  • Phone: 757-663-7100
  • Fax: 571-430-2234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: SHAUNTE JOHNSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 757-663-7100