MEDICARE: ADULT HEALTHCARE SERVICES - FRANKLIN

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	HCO 15861	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HCO 15861	OTHER	VA	VA DEPARTMENT OF HEALTH

General Provider Information

NPI Number	:	1508265695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADULT HEALTHCARE SERVICES - FRANKLIN

Provider Business Mailing Address
First Line	:	505 S MAIN ST
Second Line	:
City	:	ROCKY MOUNT
State	:	VA
Zip	:	24151-1745
Country	:	US
Telephone Number	:	540-489-8100
Fax Number	:	804-489-8101

Provider Business Practice Location Address
First Line	:	505 S MAIN ST
Second Line	:
City	:	ROCKY MOUNT
State	:	VA
Zip	:	24151-1745
Country	:	US
Telephone Number	:	540-489-8100
Fax Number	:	804-489-8101

Authorized Official
Title or Position	:	CFO
Name	:	CLIFTON M. COGER
Credential	:	CPA
Telephone Number	:	804-276-2952

Provider Enumeration Date	:	08/14/2014
Last Update Date	:	08/14/2014

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