Provider Demographics
NPI:1598350191
Name:SENIOR HOME CARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:SENIOR HOME CARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:757-917-4574
Mailing Address - Street 1:3319 GOLDEN OAKS LN
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-4752
Mailing Address - Country:US
Mailing Address - Phone:757-917-4574
Mailing Address - Fax:
Practice Address - Street 1:3319 GOLDEN OAKS LN
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-4752
Practice Address - Country:US
Practice Address - Phone:757-917-4574
Practice Address - Fax:757-210-3980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO-212508Medicaid