Provider Demographics
NPI:1124394168
Name:HOBLEY HOME HEALTH
Entity Type:Organization
Organization Name:HOBLEY HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:JANELLE
Authorized Official - Last Name:HOBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:757-775-3983
Mailing Address - Street 1:281 TOWN POINTE WAY
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-3832
Mailing Address - Country:US
Mailing Address - Phone:757-775-3683
Mailing Address - Fax:
Practice Address - Street 1:281 TOWN POINTE WAY
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-3832
Practice Address - Country:US
Practice Address - Phone:757-775-3683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-23
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2783692012374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty