Provider Demographics
NPI:1437402955
Name:VIRGINIA HOME HEALTH & HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:VIRGINIA HOME HEALTH & HOSPICE CARE, INC.
Other - Org Name:VIRGINIA HOME HEALTH & HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:M
Authorized Official - Last Name:GLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-575-5200
Mailing Address - Street 1:7061 W LEE HWY STE B
Mailing Address - Street 2:
Mailing Address - City:RURAL RETREAT
Mailing Address - State:VA
Mailing Address - Zip Code:24368-2933
Mailing Address - Country:US
Mailing Address - Phone:276-686-6321
Mailing Address - Fax:276-686-6160
Practice Address - Street 1:7061 W LEE HWY STE B
Practice Address - Street 2:
Practice Address - City:RURAL RETREAT
Practice Address - State:VA
Practice Address - Zip Code:24368-2933
Practice Address - Country:US
Practice Address - Phone:276-686-6321
Practice Address - Fax:276-686-6160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No163WC2100XNursing Service ProvidersRegistered NurseContinence CareGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1437402955OtherMEDICAID VAHHH 9-29-12 RESPITE
VA49-7563OtherMEDICARE HOME HEALTH PTAN
VA1437402955OtherMEDICAID VAHHH 9-29-12 PERSONAL CARE
VA1437402955OtherMEDICAID - PRIVATE DUTY NURSING/HIGH TECHNOLOGY WAIVER
VA49-1550OtherMEDICARE HOSPICE PTAN