Provider Demographics
NPI:1548561822
Name:SECURE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:SECURE HOME HEALTH, INC.
Other - Org Name:SECURE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-818-8389
Mailing Address - Street 1:5762 CHESAPEAKE BLVD
Mailing Address - Street 2:SUITE 311
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-5324
Mailing Address - Country:US
Mailing Address - Phone:757-818-8389
Mailing Address - Fax:757-803-9529
Practice Address - Street 1:5762 CHESAPEAKE BLVD
Practice Address - Street 2:SUITE 311
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-5324
Practice Address - Country:US
Practice Address - Phone:757-818-8389
Practice Address - Fax:757-803-9529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO11700251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health