Professional Home Health Care LLC
Organization Active NPI Respite Care · Carrollton, VA
NPI 1831569425 · NPPES record last updated Sep 25, 2015
Key facts
- NPI
- 1831569425
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Respite Care 385H00000X
- License
- HCO-161063 (VA)
- Legal business name
- PROFESSIONAL HOME HEALTH CARE LLC
- Practice address
- 15207 Carrollton Blvd
Carrollton, VA 23314-2303 - Phone
- (757) 238-9888
- Fax
- (757) 238-9920
- NPI assigned
- Sep 25, 2015
- Organization subpart
- No
Authorized official
- Name
- Mrs. Semeiko Baker Gambrell
- Title
- Administator
- Phone
- (757) 238-9888
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Professional Home Health Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | HCO-161063 | VA | Yes |
Addresses
Primary practice location
15207 Carrollton Blvd
Carrollton, VA 23314-2303
Mailing address
15207 Carrollton Blvd
Carrollton, VA 23314-2303
Phone (757) 238-9888
Other providers in Carrollton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.