Provider Demographics
NPI:1710395397
Name:ANYTIME HOME CARE, INC
Entity Type:Organization
Organization Name:ANYTIME HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLIFTON
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-393-1333
Mailing Address - Street 1:3403 COUNTY ST STE C
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-3233
Mailing Address - Country:US
Mailing Address - Phone:757-393-1333
Mailing Address - Fax:757-967-8355
Practice Address - Street 1:3403 COUNTY ST STE C
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3233
Practice Address - Country:US
Practice Address - Phone:757-393-1333
Practice Address - Fax:757-967-8355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO15811253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0158871258Medicaid
VA0158871415Medicaid