Provider Demographics
NPI:1346539673
Name:S&S HEALTHCARE, INC.
Entity Type:Organization
Organization Name:S&S HEALTHCARE, INC.
Other - Org Name:INTERIM HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-774-8686
Mailing Address - Street 1:4395 ELECTRIC RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0721
Mailing Address - Country:US
Mailing Address - Phone:540-774-8686
Mailing Address - Fax:540-774-0279
Practice Address - Street 1:4395 ELECTRIC RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-0721
Practice Address - Country:US
Practice Address - Phone:540-774-8686
Practice Address - Fax:540-774-0279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1437101029OtherMEDICARE
VA0087700180OtherMEDICAID API RESPITE CARE
VA0087001506OtherMEDICAID API PERSONAL CARE
VA497022BMedicare PIN