Troy Jefferson

Individual provider Active NPI In Home Supportive Care Agency · Dry Fork, VA

NPI 1629934732 · NPPES record last updated Jan 2, 2026

Key facts

NPI
1629934732
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
2348 W Sunrise Dr
Dry Fork, VA 24549-2046
Phone
(434) 228-6756
NPI assigned
Jan 2, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X VA Yes

Addresses

Primary practice location

2348 W Sunrise Dr
Dry Fork, VA 24549-2046

Mailing address

2348 W Sunrise Dr
Dry Fork, VA 24549-2046
Phone (434) 228-6756

Other providers in Dry Fork, VA

All providers in Dry Fork, VA · In Home Supportive Care Agency in Virginia

Sources for this page

Verify at the official NPI Registry.