MEDICARE: ADORATION HOME HEALTH CARE VIRGINIA LLC

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	:	1790885945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADORATION HOME HEALTH CARE VIRGINIA LLC

Provider Business Mailing Address
First Line	:	805 N WHITTINGTON PKWY
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-7101
Country	:	US
Telephone Number	:	502-630-7425
Fax Number	:

Provider Business Practice Location Address
First Line	:	2116 STATESVILLE BLVD STE A
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28147-1410
Country	:	US
Telephone Number	:	704-639-1060
Fax Number	:	800-311-7783

Authorized Official
Title or Position	:	MANAGER
Name	:	MARGARET S PEMBERTON
Credential	:
Telephone Number	:	502-272-3466

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	09/27/2023

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