Healthcare Provider Details

I. General information

NPI: 1861180242
Provider Name (Legal Business Name): HIGHLY FAVORED HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2023
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 OFFICE SQUARE LN STE D
VIRGINIA BEACH VA
23462-3657
US

IV. Provider business mailing address

313 OFFICE SQUARE LN STE D
VIRGINIA BEACH VA
23462-3657
US

V. Phone/Fax

Practice location:
  • Phone: 757-904-1133
  • Fax:
Mailing address:
  • Phone: 757-714-3031
  • Fax: 757-447-9063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. LAKISHA DOGGETT
Title or Position: OWNER
Credential:
Phone: 757-714-3031