MEDICARE: S&G HOME IMPROVEMENTS 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	332BC3200X	Customized Equipment (DME)	111394-1700	VA
2	332B00000X	Durable Medical Equipment & Medical Supplies	111394-1700	VA

General Provider Information

NPI Number	:	1366680944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S&G HOME IMPROVEMENTS INC.

Provider Business Mailing Address
First Line	:	429 KINGSWOOD PL
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-4115
Country	:	US
Telephone Number	:	757-271-5909
Fax Number	:

Provider Business Practice Location Address
First Line	:	429 KINGSWOOD PL
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-4115
Country	:	US
Telephone Number	:	757-271-5909
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. GINA BARRACA ROGERS
Credential	:
Telephone Number	:	757-271-5909

Provider Enumeration Date	:	02/04/2009
Last Update Date	:	02/04/2009

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