=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801239405
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL ABOUT YOU HEALTH CARE SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/12/2013
-----------------------------------------------------
Last Update Date | 02/03/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5911 PORTSMOUTH BLVD
-----------------------------------------------------
City | PORTSMOUTH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23701-1445
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-673-4900
-----------------------------------------------------
Fax | 757-673-5461
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5911 PORTSMOUTH BLVD
-----------------------------------------------------
City | PORTSMOUTH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23701-1445
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-673-4900
-----------------------------------------------------
Fax | 757-673-5461
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CASE MANAGER
-----------------------------------------------------
Name | MRS. LINDA DIANE ELLIOTT
-----------------------------------------------------
Credential | REGISTRED NURSE
-----------------------------------------------------
Telephone | 757-673-4900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 497633
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------