Provider Demographics
NPI:1356651962
Name:BETTER HOMECARE SERVICES
Entity Type:Organization
Organization Name:BETTER HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BONNA
Authorized Official - Middle Name:PADILLA
Authorized Official - Last Name:MAYNIGO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-686-2418
Mailing Address - Street 1:3105 WESTERN BRANCH BLVD
Mailing Address - Street 2:UNIT 8
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5543
Mailing Address - Country:US
Mailing Address - Phone:757-686-2418
Mailing Address - Fax:757-686-4429
Practice Address - Street 1:3105 WESTERN BRANCH BLVD
Practice Address - Street 2:UNIT 8
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-5543
Practice Address - Country:US
Practice Address - Phone:757-686-2418
Practice Address - Fax:757-686-4429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-11691251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health