=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710632856
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | V&C HOME HEALTH INC LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/17/2022
-----------------------------------------------------
Last Update Date | 02/01/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1226 WHITE MARSH RD STE 210
-----------------------------------------------------
City | SUFFOLK
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23434-4055
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-274-4050
-----------------------------------------------------
Fax | 757-210-4140
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1226 WHITE MARSH RD STE 210
-----------------------------------------------------
City | SUFFOLK
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23434-4055
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-355-1238
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | VERNICIA LAWRENCE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 757-355-1238
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------