MEDICARE: VAUGHAN'S 3 HOME HEALTH

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	:	1326830829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VAUGHAN'S 3 HOME HEALTH

Provider Business Mailing Address
First Line	:	468 INVESTORS PL STE 204B
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1109
Country	:	US
Telephone Number	:	757-798-3444
Fax Number	:	757-937-1051

Provider Business Practice Location Address
First Line	:	468 INVESTORS PL STE 204B
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1109
Country	:	US
Telephone Number	:	757-798-3444
Fax Number	:	757-937-1051

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	RIKIYA VAUGHAN
Credential	:
Telephone Number	:	757-798-3444

Provider Enumeration Date	:	05/20/2025
Last Update Date	:	05/20/2025

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Directions to “VAUGHAN'S 3 HOME HEALTH ” Practice Location

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