MEDICARE: VIRGINIA HOME HEALTH & HOSPICE CARE, 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	251G00000X	Community Based Hospice Care Agency	HSP-16233	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	49-1550	OTHER	VA	MEDICARE HOSPICE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	HSP-16233	OTHER	VA	VDH, HOSPICE LICENSE

General Provider Information

NPI Number	:	1295088268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA HOME HEALTH & HOSPICE CARE, INC.

Provider Business Mailing Address
First Line	:	7061 W LEE HWY STE B
Second Line	:
City	:	RURAL RETREAT
State	:	VA
Zip	:	24368-2933
Country	:	US
Telephone Number	:	276-686-6321
Fax Number	:	276-686-6160

Provider Business Practice Location Address
First Line	:	7061 W LEE HWY STE B
Second Line	:
City	:	RURAL RETREAT
State	:	VA
Zip	:	24368-2933
Country	:	US
Telephone Number	:	276-686-6321
Fax Number	:	276-686-6160

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	CHRISTY M GLYNN
Credential	:
Telephone Number	:	434-575-5200

Provider Enumeration Date	:	10/16/2012
Last Update Date	:	06/27/2016

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Directions to “VIRGINIA HOME HEALTH & HOSPICE CARE, INC. ” Practice Location

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