Provider Demographics
NPI:1598131674
Name:TODDLERS TO GRANDPARENTS, LLC
Entity Type:Organization
Organization Name:TODDLERS TO GRANDPARENTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VAL
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUNDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-302-5161
Mailing Address - Street 1:4439 OLD FOX TRL
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4750
Mailing Address - Country:US
Mailing Address - Phone:801-302-5161
Mailing Address - Fax:800-810-3903
Practice Address - Street 1:4439 OLD FOX TRL
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4750
Practice Address - Country:US
Practice Address - Phone:801-302-5161
Practice Address - Fax:800-810-3903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0162551813Medicaid