MEDICARE: HOME CARE SERVICES UNLIMITED, 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	251E00000X	Home Health Agency	HCO-161213	VA

General Provider Information

NPI Number	:	1528424553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE SERVICES UNLIMITED, INC.

Provider Business Mailing Address
First Line	:	5441 VIRGINIA BEACH BLVD
Second Line	:	SUITE 120
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-1749
Country	:	US
Telephone Number	:	757-962-3143
Fax Number	:

Provider Business Practice Location Address
First Line	:	5441 VIRGINIA BEACH BLVD
Second Line	:	SUITE 120
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-1749
Country	:	US
Telephone Number	:	757-962-3143
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CONTESSA REED GREENE
Credential	:
Telephone Number	:	757-962-3143

Provider Enumeration Date	:	01/06/2016
Last Update Date	:	01/06/2016

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