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Aca Home Healthcare LLC.

Organization Active NPI Home Health Agency · Portsmouth, VA

NPI 1669877940 · NPPES record last updated Jun 12, 2024

Key facts

NPI
1669877940
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
HCO-14980 (VA)
Legal business name
ACA HOME HEALTHCARE LLC.
Practice address
1508 Airline Blvd
Portsmouth, VA 23707-3907
Phone
(757) 405-3444
Fax
(757) 337-0901
NPI assigned
Oct 28, 2014
Organization subpart
No

Authorized official

Name
Ms. Faye K Okolo, OWNER
Title
Administrator
Phone
(757) 405-3444

National Provider Directory

Locations

4202 Portsmouth Blvd
Portsmouth, VA 23701

1508 Airline Blvd
Portsmouth, VA 23707
Phone (757) 405-3444

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-14980 VA Yes
Personal Care Attendant
Group: 193200000X MULTI-SPECIALTY GROUP		 3747P1801X
Respite Care 385H00000X

Addresses

Primary practice location

1508 Airline Blvd
Portsmouth, VA 23707-3907

Mailing address

1508 Airline Blvd
Portsmouth, VA 23707-3907
Phone (757) 405-3444

Other identifiers

IdentifierTypeStateIssuer
0170870452MedicaidVA
2012215075MedicaidVA
10170869793MedicaidVA
2012215074MedicaidVA
3001508330004MedicaidVA
0170869793MedicaidVA
HCO-0000980OtherVAHOME HEALTH CARE

Other names

  • A CALL AWAY HOME HEALTH CARE LLC. Doing business as
  • ACA HOME HEALTHCARE LLC. Doing business as

Other providers in Portsmouth, VA

All providers in Portsmouth, VA · Home Health Agency in Virginia

Sources for this page

Verify at the official NPI Registry.