Provider Demographics
NPI:1376907279
Name:JOY HOME CARE LLC
Entity Type:Organization
Organization Name:JOY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ENGELBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-470-8834
Mailing Address - Street 1:3824 VIRGINIA BEACH BLVD
Mailing Address - Street 2:202
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-2438
Mailing Address - Country:US
Mailing Address - Phone:757-512-7722
Mailing Address - Fax:844-469-7537
Practice Address - Street 1:3824 VIRGINIA BEACH BLVD
Practice Address - Street 2:202
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-2438
Practice Address - Country:US
Practice Address - Phone:757-512-7722
Practice Address - Fax:757-351-2869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO 171420251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health