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General NPI Number Information
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NPI Number | 1124374301
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Entity Type | Organization
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Legal Business Name | COMPANION OF CARE HOME HEALTH INC.
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 2470 PRUDEN BLVD
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City | SUFFOLK
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State | VA
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Zip | 23434-4206
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Country | US
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Telephone | 757-934-3399
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Fax | 757-934-3389
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Provider Business Mailing Address
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Address Line | 424 N MAIN ST SUITE 3
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City | SUFFOLK
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State | VA
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Zip | 23434-4428
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Country | US
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Telephone | 757-934-3399
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VESHA JONES
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Credential |
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Telephone | 757-934-3399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HCO-13827
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License Number State | VA
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