Provider Demographics
NPI:1689252959
Name:EDC HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:EDC HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERNEDA
Authorized Official - Middle Name:CAUTHORNE
Authorized Official - Last Name:MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-475-8265
Mailing Address - Street 1:3911 ALMA AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23222-1207
Mailing Address - Country:US
Mailing Address - Phone:804-475-8265
Mailing Address - Fax:
Practice Address - Street 1:3911 ALMA AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222-1207
Practice Address - Country:US
Practice Address - Phone:804-475-8265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health