Provider Demographics
NPI:1033753371
Name:VISITING ANGELS HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:VISITING ANGELS HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAQUAILA
Authorized Official - Middle Name:DARNETTE
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-405-4026
Mailing Address - Street 1:1545 CROSSWAYS BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320
Mailing Address - Country:US
Mailing Address - Phone:757-405-4026
Mailing Address - Fax:
Practice Address - Street 1:1545 CROSSWAYS BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320
Practice Address - Country:US
Practice Address - Phone:757-405-4026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty