MEDICARE: CM CONSULTING AGENCY, 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	:	1205546686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CM CONSULTING AGENCY, LLC

Provider Business Mailing Address
First Line	:	5701 PRINCESS ANNE RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3253
Country	:	US
Telephone Number	:	757-447-4049
Fax Number	:

Provider Business Practice Location Address
First Line	:	5701 PRINCESS ANNE RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3253
Country	:	US
Telephone Number	:	757-447-4049
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINA MARTIN
Credential	:	RN
Telephone Number	:	757-447-4049

Provider Enumeration Date	:	11/28/2022
Last Update Date	:	11/28/2022

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