Provider Demographics
NPI:1407806490
Name:S & S HEALTH CARE, INC.
Entity Type:Organization
Organization Name:S & S HEALTH CARE, INC.
Other - Org Name:INTERIM HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:P
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-774-8686
Mailing Address - Street 1:4395 ELECTRIC ROAD
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 1:710 WEST RIDGE ROAD
Practice Address - Street 2:SUITE I LOWER LEVEL
Practice Address - City:WYTHEVILLE
Practice Address - State:VIRGINIA
Practice Address - Zip Code:24382
Practice Address - Country:UM
Practice Address - Phone:276-200-2606
Practice Address - Fax:276-223-0720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA008751196Medicaid
VA008771545Medicaid
VA112246OtherANTHEM
VA008701199Medicaid
VA497574Medicare ID - Type Unspecified