Provider Demographics
NPI:1801038088
Name:DICKENSON COUNTY HOME HEALTH AND HOSPICE, INC
Entity Type:Organization
Organization Name:DICKENSON COUNTY HOME HEALTH AND HOSPICE, INC
Other - Org Name:PATIENT FIRST HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:YATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-679-1684
Mailing Address - Street 1:PO BOX 1211
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:VA
Mailing Address - Zip Code:24273-0913
Mailing Address - Country:US
Mailing Address - Phone:276-926-1684
Mailing Address - Fax:276-679-1685
Practice Address - Street 1:1028 PARK AVE NE
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:VA
Practice Address - Zip Code:24273-1014
Practice Address - Country:US
Practice Address - Phone:276-679-1684
Practice Address - Fax:276-679-1685
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DICKENSON COUNTY HOME HEALTH AND HOSPICE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA497601Medicare Oscar/Certification