Healthcare Provider Details

I. General information

NPI: 1437705514
Provider Name (Legal Business Name): VICTORIA LENDING HAND HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 07/15/2020
Certification Date: 07/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3306 CRAGGY OAK CT STE 202A&B
WILLIAMSBURG VA
23188-1064
US

IV. Provider business mailing address

3306 CRAGGY OAK CT STE 202A&B
WILLIAMSBURG VA
23188-1064
US

V. Phone/Fax

Practice location:
  • Phone: 804-896-4307
  • Fax:
Mailing address:
  • Phone: 804-896-4307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA WILLOUGHBY
Title or Position: ADMINISTRATOR
Credential:
Phone: 804-896-4307