Provider Demographics
NPI:1720573546
Name:VIRGINIA HEALTHCARE SERVICES HOSPICE CARE LLC
Entity Type:Organization
Organization Name:VIRGINIA HEALTHCARE SERVICES HOSPICE CARE LLC
Other - Org Name:VIRGINIA HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL CONSULTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:S
Authorized Official - Last Name:COREY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-431-3202
Mailing Address - Street 1:7010 LITTLE RIVER TPKE STE 400
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3241
Mailing Address - Country:US
Mailing Address - Phone:703-333-5288
Mailing Address - Fax:703-333-5952
Practice Address - Street 1:7010 LITTLE RIVER TPKE STE 400
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3241
Practice Address - Country:US
Practice Address - Phone:703-333-5288
Practice Address - Fax:703-333-5952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based