1003147588 NPI number — CAREPEOPLE HOME HEALTH, INC

Table of content: (NPI 1003147588)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003147588 NPI number — CAREPEOPLE HOME HEALTH, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAREPEOPLE HOME HEALTH, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CAREPEOPLE HOME HEALTH & HOSPICE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003147588
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/04/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14631 LEE HWY STE 401
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CENTREVILLE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
20121-5835
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
571-297-4747
Provider Business Mailing Address Fax Number:
877-437-5151

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14631 LEE HWY STE 401
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CENTREVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
20121-5835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
571-297-4747
Provider Business Practice Location Address Fax Number:
877-437-5151
Provider Enumeration Date:
01/22/2010

Additional Information

Authorized Official

Authorized Official Last Name:
HONG
Authorized Official First Name:
EUN KYUNG
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
571-297-4747

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HC010626 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251G00000X , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1003147588 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: HCO-10626 . This is a "VIRGINIA DEPARTMENT OF HEALTH" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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