Provider Demographics
NPI:1306845979
Name:HOME HEALTH CARE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:HOME HEALTH CARE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-694-7756
Mailing Address - Street 1:PO BOX 1157
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:VA
Mailing Address - Zip Code:24171-1157
Mailing Address - Country:US
Mailing Address - Phone:276-694-7756
Mailing Address - Fax:276-694-7974
Practice Address - Street 1:18981 JEB STUART HIGHWAY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:VA
Practice Address - Zip Code:24171-1157
Practice Address - Country:US
Practice Address - Phone:276-694-7756
Practice Address - Fax:276-694-7974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VALICENSE EXEMPT251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA49-74018Medicaid
VA49-74018Medicaid