Provider Demographics
NPI:1548734668
Name:QUINTON'S HEAVENLY ARMS HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:QUINTON'S HEAVENLY ARMS HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MEADE-SETTLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-362-2677
Mailing Address - Street 1:1121 ELDER AVE
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23325-3013
Mailing Address - Country:US
Mailing Address - Phone:757-362-2677
Mailing Address - Fax:757-351-6110
Practice Address - Street 1:2006 OLD GREENBRIER RD STE 8
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2648
Practice Address - Country:US
Practice Address - Phone:757-802-4080
Practice Address - Fax:757-351-6110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0782213562Medicaid