Provider Demographics
NPI:1407585466
Name:HEALTH RESTORED HOME HEALTH LLC
Entity Type:Organization
Organization Name:HEALTH RESTORED HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-247-9567
Mailing Address - Street 1:900 GRANBY ST STE 239
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2577
Mailing Address - Country:US
Mailing Address - Phone:912-247-9567
Mailing Address - Fax:804-884-3702
Practice Address - Street 1:900 GRANBY ST STE 239
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2577
Practice Address - Country:US
Practice Address - Phone:912-247-9567
Practice Address - Fax:804-884-3702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No251E00000XAgenciesHome Health