Provider Demographics
NPI:1558131318
Name:STAFFORD HOME HEALTHCARE
Entity Type:Organization
Organization Name:STAFFORD HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:PEARL
Authorized Official - Middle Name:
Authorized Official - Last Name:THRINNY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:540-809-3291
Mailing Address - Street 1:420 HUDGINS RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-4172
Mailing Address - Country:US
Mailing Address - Phone:540-618-1528
Mailing Address - Fax:
Practice Address - Street 1:420 HUDGINS RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-4172
Practice Address - Country:US
Practice Address - Phone:540-618-1528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health