MEDICARE: HOME SWEET HAVEN 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1164373999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME SWEET HAVEN LLC

Provider Business Mailing Address
First Line	:	1105 NEWTOWN RD STE D
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-3000
Country	:	US
Telephone Number	:	757-553-2472
Fax Number	:	757-553-2472

Provider Business Practice Location Address
First Line	:	1105 NEWTOWN RD STE D
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-3000
Country	:	US
Telephone Number	:	757-553-2472
Fax Number	:	757-553-2472

Authorized Official
Title or Position	:	ADMINISTRATION
Name	:	CARMEN WALTON
Credential	:
Telephone Number	:	757-553-2472

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

Similar Medicare Providers

1669718391 — AMERICAN HEALTH INC
Practice Location Address:

LOTE 18 METRO OFFICE PARK , 3RD FLOOR SUITE 3000 AMERICAN HEALTH MEDICARE BUILDING
GUAYNABO, PR
00968

Practice Phone: 787-620-1919
Practice Fax: 787-620-0570

1447101456 — CARMEN WALTON
Practice Location Address:

1105 NEWTOWN RD STE D
NORFOLK, VA
23502-3000

Practice Phone: 757-553-2472
Practice Fax: 757-553-2472

1821383944 — SHAUN M REYNOLDS M.D.
Practice Location Address:

3000 COLISEUM DR
NORFOLK, VA
23666

Practice Phone: 502-852-5689
Practice Fax:

1801423967 — DR. CHARLES THOMAS HEHMAN MD
Practice Location Address:

3000 COLISEUM DR STE 200
NORFOLK, VA
23510-1368

Practice Phone: 757-736-7280
Practice Fax:

1447101852 — TRUE SPARK COMMUNITY CARE, LLC
Practice Location Address:

5366 COACH WAY DR
NORFOLK, VA
23502-2333

Practice Phone: 757-831-8000
Practice Fax:

1811189772 — DR. SIOBHAN BERTOLINO M.D.
Practice Location Address:

844 KEMPSVILLE RD , SUITE 208
NORFOLK, VA
23502-3927

Practice Phone: 757-461-3890
Practice Fax: 757-461-0836

Directions to “HOME SWEET HAVEN LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.