Healthcare Provider Details
I. General information
NPI: 1235093121
Provider Name (Legal Business Name): DOUBLE STEPS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 CONSTITUTION DR STE 101
VIRGINIA BEACH VA
23462-3479
US
IV. Provider business mailing address
2 CONSTITUTION DR STE 101
VIRGINIA BEACH VA
23462-3479
US
V. Phone/Fax
- Phone: 757-658-1071
- Fax:
- Phone: 757-658-1071
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FAVOUR
WHITE
Title or Position: ADMINISTRATOR
Credential:
Phone: 757-658-1071