Healthcare Provider Details

I. General information

NPI: 1033197371
Provider Name (Legal Business Name): HUNT COUNTRY HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 01/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 KEITH ST
WARRENTON VA
20186-3231
US

IV. Provider business mailing address

25 WINCHESTER ST
WARRENTON VA
20186-2825
US

V. Phone/Fax

Practice location:
  • Phone: 540-347-4774
  • Fax: 540-349-2840
Mailing address:
  • Phone: 540-347-4901
  • Fax: 540-347-3720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CHICH A GILPIN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 540-347-4901