=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497052997
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RODGERS' COMPASSIONATE HOME HEALTH CARE LLC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/17/2011
-----------------------------------------------------
Last Update Date | 09/27/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3026 TYRE NECK RD STE F
-----------------------------------------------------
City | PORTSMOUTH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23703-4500
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-483-8971
-----------------------------------------------------
Fax | 757-483-8972
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3026 TYRE NECK RD STE F
-----------------------------------------------------
City | PORTSMOUTH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23703-4500
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-483-8971
-----------------------------------------------------
Fax | 757-483-8972
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MS. SHARON Y RODGERS
-----------------------------------------------------
Credential | CNA
-----------------------------------------------------
Telephone | 757-483-8971
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------