MEDICARE: HOME STAFFING SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013584390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME STAFFING SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	PO BOX 245
Second Line	:
City	:	GLOUCESTER POINT
State	:	VA
Zip	:	23062-0245
Country	:	US
Telephone Number	:	757-706-4584
Fax Number	:

Provider Business Practice Location Address
First Line	:	1451 GEORGE WASHINGTON MEMORIAL HWY # 245
Second Line	:
City	:	GLOUCESTER POINT
State	:	VA
Zip	:	23062-2028
Country	:	US
Telephone Number	:	757-706-4584
Fax Number	:	855-208-5055

Authorized Official
Title or Position	:	OWNER
Name	:	SALLY B KENYON
Credential	:	LPN
Telephone Number	:	757-706-4584

Provider Enumeration Date	:	06/07/2021
Last Update Date	:	06/07/2021

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Directions to “HOME STAFFING SOLUTIONS LLC ” Practice Location

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