Healthcare Provider Details

I. General information

NPI: 1427993476
Provider Name (Legal Business Name): EMMAUS HOME OF VIRGINIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 REASOR DR
VIRGINIA BEACH VA
23464-2425
US

IV. Provider business mailing address

705 REASOR DR
VIRGINIA BEACH VA
23464-2425
US

V. Phone/Fax

Practice location:
  • Phone: 757-735-7155
  • Fax:
Mailing address:
  • Phone: 757-735-7155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MARIA TUAZON
Title or Position: OWNER
Credential:
Phone: 551-358-4067