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NPI Code Detail

MEDICARE: CLOYD HOME CARE, LLC

MEDICARE: CLOYD HOME CARE, 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
1253Z00000XIn Home Supportive Care Agency
2385H00000XRespite Care
3251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861178022
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLOYD HOME CARE, LLC
Provider Business Mailing Address
First Line : 555 BELAIRE AVE STE 2102073
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-4783
Country : US
Telephone Number : 757-780-8909
Fax Number : 757-522-1844
Provider Business Practice Location Address
First Line : 555 BELAIRE AVE STE 2102073
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-4783
Country : US
Telephone Number : 804-216-0407
Fax Number :
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : MRS. YASMIN NIXON
Credential :
Telephone Number : 804-216-0407
Provider Enumeration Date : 06/23/2023
Last Update Date : 12/26/2024

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Directions to “CLOYD HOME CARE, LLC ” Practice Location

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