Healthcare Provider Details

I. General information

NPI: 1760860852
Provider Name (Legal Business Name): WILLIAMSBURG LANDING HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2015
Last Update Date: 05/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 WILLIAMSBURG LANDING DR
WILLIAMSBURG VA
23185-3779
US

IV. Provider business mailing address

5700 WILLIAMSBURG LANDING DR
WILLIAMSBURG VA
23185-3779
US

V. Phone/Fax

Practice location:
  • Phone: 757-565-6525
  • Fax: 757-565-6551
Mailing address:
  • Phone: 757-565-6525
  • Fax: 757-565-6551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. NANCY LOUISE BARHITE
Title or Position: ADMINISTRATOR
Credential: R.N
Phone: 757-565-6525