MEDICARE: IT'S MY HOME

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	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1134804776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IT'S MY HOME

Provider Business Mailing Address
First Line	:	6212 PICCADILLY RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23231-4743
Country	:	US
Telephone Number	:	804-714-7850
Fax Number	:

Provider Business Practice Location Address
First Line	:	602 ELMFIELD DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23227-2572
Country	:	US
Telephone Number	:	804-714-7850
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DARLINGTON DICKSON CURTIS
Credential	:
Telephone Number	:	804-714-7850

Provider Enumeration Date	:	06/20/2023
Last Update Date	:	06/20/2023

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Directions to “IT'S MY HOME ” Practice Location

Language	Start Address	Practice Location

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