MEDICARE: STRATEGIC 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1962706093
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRATEGIC HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	4602 WESTGROVE CT
Second Line	:	SUITE B
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-5414
Country	:	US
Telephone Number	:	757-352-1560
Fax Number	:

Provider Business Practice Location Address
First Line	:	4602 WESTGROVE CT
Second Line	:	SUIRE B
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-5414
Country	:	US
Telephone Number	:	757-753-3507
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. TIFFANY L BRADLEY
Credential	:
Telephone Number	:	757-352-1560

Provider Enumeration Date	:	01/04/2011
Last Update Date	:	08/18/2016

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