Provider Demographics
NPI:1225795685
Name:PRIORITY HOME HEALTHCARE OF VIRGINIA LLC
Entity Type:Organization
Organization Name:PRIORITY HOME HEALTHCARE OF VIRGINIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLENDER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-816-9747
Mailing Address - Street 1:580 LYNNHAVEN PKWY STE 202
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7333
Mailing Address - Country:US
Mailing Address - Phone:757-816-9747
Mailing Address - Fax:
Practice Address - Street 1:580 LYNNHAVEN PKWY STE 202
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7333
Practice Address - Country:US
Practice Address - Phone:757-816-9747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health