Provider Demographics
NPI:1790167468
Name:VIRGINIA IN HOME ASSISTANTS, LLC
Entity Type:Organization
Organization Name:VIRGINIA IN HOME ASSISTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:GAY
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-676-0544
Mailing Address - Street 1:442 SUMMERS ST NE
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-2204
Mailing Address - Country:US
Mailing Address - Phone:276-698-0233
Mailing Address - Fax:276-676-0544
Practice Address - Street 1:442 SUMMERS ST NE
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-2204
Practice Address - Country:US
Practice Address - Phone:276-698-0233
Practice Address - Fax:276-676-0544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care