Provider Demographics
NPI:1629674320
Name:HONESTY HOME HEALTH LLC
Entity Type:Organization
Organization Name:HONESTY HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHAN DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-352-1573
Mailing Address - Street 1:468 INVESTORS PL STE 204A
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1109
Mailing Address - Country:US
Mailing Address - Phone:757-904-5091
Mailing Address - Fax:757-904-5090
Practice Address - Street 1:468 INVESTORS PL STE 204A
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1109
Practice Address - Country:US
Practice Address - Phone:757-904-5091
Practice Address - Fax:757-904-5090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0001108800Medicaid