Provider Demographics
NPI:1154848729
Name:HLA HOME CARE
Entity Type:Organization
Organization Name:HLA HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:ALMOND
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-673-3200
Mailing Address - Street 1:4425 PORTSMOUTH BLVD.
Mailing Address - Street 2:STE. 115
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-2152
Mailing Address - Country:US
Mailing Address - Phone:757-673-3200
Mailing Address - Fax:757-673-6362
Practice Address - Street 1:4425 PORTSMOUTH BLVD.
Practice Address - Street 2:STE. 115
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-2152
Practice Address - Country:US
Practice Address - Phone:757-673-3200
Practice Address - Fax:757-673-6362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-24
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health