Provider Demographics
NPI:1225552151
Name:HOME HEALTH CARE SERVICES OF VIRGINIA, LLC
Entity Type:Organization
Organization Name:HOME HEALTH CARE SERVICES OF VIRGINIA, LLC
Other - Org Name:ASCEND HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF BILLING
Authorized Official - Prefix:
Authorized Official - First Name:YEWANDE
Authorized Official - Middle Name:
Authorized Official - Last Name:EFODILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-931-9068
Mailing Address - Street 1:65 JACKSON DR STE 103
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-3516
Mailing Address - Country:US
Mailing Address - Phone:908-931-9068
Mailing Address - Fax:
Practice Address - Street 1:10571 TELEGRAPH RD STE 203
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-4652
Practice Address - Country:US
Practice Address - Phone:804-673-1330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health