Provider Demographics
NPI:1275306250
Name:MORNINGSIDEHHC@GMAIL.COM
Entity Type:Organization
Organization Name:MORNINGSIDEHHC@GMAIL.COM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHASSITY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CLAIBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-612-2940
Mailing Address - Street 1:5607 MORNINGSIDE CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3208
Mailing Address - Country:US
Mailing Address - Phone:757-612-2940
Mailing Address - Fax:
Practice Address - Street 1:5607 MORNINGSIDE CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3208
Practice Address - Country:US
Practice Address - Phone:757-612-2940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORNINGSIDE HOME HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health