Provider Demographics
NPI:1346433463
Name:HAND N HEART
Entity Type:Organization
Organization Name:HAND N HEART
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS RECEIVABLES
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:STRADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-565-0216
Mailing Address - Street 1:461 MCLAWS CIR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-6350
Mailing Address - Country:US
Mailing Address - Phone:757-565-0216
Mailing Address - Fax:757-565-1760
Practice Address - Street 1:317 OFFICE SQUARE LN
Practice Address - Street 2:SUITE 201A
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3650
Practice Address - Country:US
Practice Address - Phone:757-490-1223
Practice Address - Fax:757-490-1222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-0864251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0087033376Medicaid