1528424553 NPI number — HOME CARE SERVICES UNLIMITED, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528424553 NPI number — HOME CARE SERVICES UNLIMITED, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOME CARE SERVICES UNLIMITED, 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:
Provider Other Organization Name Type Code:
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:
1528424553
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/06/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5441 VIRGINIA BEACH BLVD
Provider Second Line Business Mailing Address:
SUITE 120
Provider Business Mailing Address City Name:
VIRGINIA BEACH
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23462-1749
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-962-3143
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5441 VIRGINIA BEACH BLVD
Provider Second Line Business Practice Location Address:
SUITE 120
Provider Business Practice Location Address City Name:
VIRGINIA BEACH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23462-1749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-962-3143
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/06/2016

Additional Information

Authorized Official

Authorized Official Last Name:
GREENE
Authorized Official First Name:
CONTESSA
Authorized Official Middle Name:
REED
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
757-962-3143

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HCO-161213 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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