Provider Demographics
NPI:1376821330
Name:CARING HANDS IN HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:CARING HANDS IN HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:DESERIE
Authorized Official - Middle Name:ANTIONETTE
Authorized Official - Last Name:WHITEHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-202-2985
Mailing Address - Street 1:3695 WINDMILL DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23453-2148
Mailing Address - Country:US
Mailing Address - Phone:757-589-3162
Mailing Address - Fax:757-689-2072
Practice Address - Street 1:3695 WINDMILL DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23453-2148
Practice Address - Country:US
Practice Address - Phone:757-589-3162
Practice Address - Fax:757-689-2072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA130750-0000-8080251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health