MEDICARE: A PASSION FOR PULSE'S 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
1	385H00000X	Respite Care
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1922746007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PASSION FOR PULSE'S HOME CARE LLC

Provider Business Mailing Address
First Line	:	4529 E HONEYGROVE RD STE 302
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-6087
Country	:	US
Telephone Number	:	267-576-8542
Fax Number	:

Provider Business Practice Location Address
First Line	:	4529 E HONEYGROVE RD STE 302
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-6087
Country	:	US
Telephone Number	:	267-576-8542
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YASMING BULLOCK
Credential	:
Telephone Number	:	267-576-8542

Provider Enumeration Date	:	05/26/2022
Last Update Date	:	10/14/2022

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