Provider Demographics
NPI:1639605660
Name:HOME RECOVERY-HOMEAID, INC
Entity Type:Organization
Organization Name:HOME RECOVERY-HOMEAID, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:'DEE'
Authorized Official - Last Name:DEWITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-315-5222
Mailing Address - Street 1:816 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-1608
Mailing Address - Country:US
Mailing Address - Phone:434-392-7336
Mailing Address - Fax:434-392-1970
Practice Address - Street 1:816 E 3RD ST
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-1608
Practice Address - Country:US
Practice Address - Phone:434-392-7336
Practice Address - Fax:434-392-1970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health