Provider Demographics
NPI:1225480270
Name:1 ACCORD HOME HEALTH, LLC
Entity Type:Organization
Organization Name:1 ACCORD HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHURON
Authorized Official - Middle Name:
Authorized Official - Last Name:POTEAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-395-4342
Mailing Address - Street 1:1157 S MILITARY HWY STE 201B
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2352
Mailing Address - Country:US
Mailing Address - Phone:757-395-4342
Mailing Address - Fax:757-395-4372
Practice Address - Street 1:1157 S MILITARY HWY STE 201B
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2352
Practice Address - Country:US
Practice Address - Phone:757-395-4342
Practice Address - Fax:757-395-4372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-01
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health