MEDICARE: 1 CALL HOME HEALTH CARE

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	HCO171593	VA

General Provider Information

NPI Number	:	1588105951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1 CALL HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	1216 E LITTLE CREEK RD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23518-3900
Country	:	US
Telephone Number	:	757-938-5823
Fax Number	:

Provider Business Practice Location Address
First Line	:	1216 E LITTLE CREEK RD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23518-3900
Country	:	US
Telephone Number	:	757-938-5823
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TONY LANKFORD
Credential	:
Telephone Number	:	757-938-5823

Provider Enumeration Date	:	03/17/2017
Last Update Date	:	03/17/2017

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