Provider Demographics
NPI:1033197371
Name:HUNT COUNTRY HOME HEALTH
Entity Type:Organization
Organization Name:HUNT COUNTRY HOME HEALTH
Other - Org Name:MID-ATLANTIC HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHICH
Authorized Official - Middle Name:A
Authorized Official - Last Name:GILPIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-347-4901
Mailing Address - Street 1:25 WINCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-2825
Mailing Address - Country:US
Mailing Address - Phone:540-347-4901
Mailing Address - Fax:540-347-3720
Practice Address - Street 1:183 KEITH ST
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3231
Practice Address - Country:US
Practice Address - Phone:540-347-4774
Practice Address - Fax:540-349-2840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004972708Medicaid
VA333912OtherANTHEM BLUE CROSS
VA004972708Medicaid