Provider Demographics
NPI:1437556743
Name:HOBBY HOME CARE, LLC
Entity Type:Organization
Organization Name:HOBBY HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-382-0655
Mailing Address - Street 1:7641 HULL STREET RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-6444
Mailing Address - Country:US
Mailing Address - Phone:804-382-0655
Mailing Address - Fax:804-276-4607
Practice Address - Street 1:7641 HULL STREET RD
Practice Address - Street 2:SUITE 100
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-6444
Practice Address - Country:US
Practice Address - Phone:804-382-0655
Practice Address - Fax:804-276-4607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO151191251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0175847075Medicaid
VA0175847232Medicaid