MEDICARE: A-FECK HEALTHCARE SERVICES, INC.

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	253Z00000X	In Home Supportive Care Agency	HCO-09546	VA
2	251E00000X	Home Health Agency	HCO-09546	VA

General Provider Information

NPI Number	:	1033358874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A-FECK HEALTHCARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	1601 WARE BOTTOM SPRING RD STE 212
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23836-2599
Country	:	US
Telephone Number	:	804-681-0697
Fax Number	:	804-681-0698

Provider Business Practice Location Address
First Line	:	1601 WARE BOTTOM SPRING RD STE 212
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23836-2599
Country	:	US
Telephone Number	:	804-681-0697
Fax Number	:	804-681-0698

Authorized Official
Title or Position	:	NURSING DIRECTOR/ADMINISTRATOR
Name	:	MRS. AGNES F ADOM
Credential	:	RN
Telephone Number	:	804-681-0697

Provider Enumeration Date	:	02/18/2009
Last Update Date	:	02/18/2009

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