Provider Demographics
NPI:1437669421
Name:HEALTH CARE TRAINING & SERVICES
Entity Type:Organization
Organization Name:HEALTH CARE TRAINING & SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING/RN
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:434-455-2131
Mailing Address - Street 1:5817 RAIFORD CIR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-3743
Mailing Address - Country:US
Mailing Address - Phone:434-455-2131
Mailing Address - Fax:434-455-6200
Practice Address - Street 1:1001 5TH ST
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24504-2851
Practice Address - Country:US
Practice Address - Phone:434-455-2131
Practice Address - Fax:434-455-6200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-04
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-18825251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0153785899Medicaid
VA0100418307Medicaid