Provider Demographics
NPI:1770198780
Name:LEADING HOME CARE INC.
Entity Type:Organization
Organization Name:LEADING HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-677-1375
Mailing Address - Street 1:3387 NEW HERITAGE LOOP
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-5144
Mailing Address - Country:US
Mailing Address - Phone:804-677-1375
Mailing Address - Fax:
Practice Address - Street 1:3387 NEW HERITAGE LOOP
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-5144
Practice Address - Country:US
Practice Address - Phone:804-677-1375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health