MEDICARE: CORPORATE HOUSING 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1144187782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORPORATE HOUSING LLC

Provider Business Mailing Address
First Line	:	739 HIGH ST
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23704-3425
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3574 HOLLAND RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-4063
Country	:	US
Telephone Number	:	757-509-1925
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICOLE SHIRLEEN TURNER
Credential	:
Telephone Number	:	757-509-1925

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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