Provider Demographics
NPI:1467038844
Name:VIRTUOUS EAGLES HOME CARE LLC
Entity Type:Organization
Organization Name:VIRTUOUS EAGLES HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-743-9489
Mailing Address - Street 1:4605 CYPRESS CT
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-6721
Mailing Address - Country:US
Mailing Address - Phone:850-743-9489
Mailing Address - Fax:
Practice Address - Street 1:4605 CYPRESS CT
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-6721
Practice Address - Country:US
Practice Address - Phone:850-743-9489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty