Provider Demographics
NPI:1801414198
Name:JPH ENTERPRISE, LLC DBA PREFERRED CARE AT HOME OF VIRGINIA BEACH
Entity Type:Organization
Organization Name:JPH ENTERPRISE, LLC DBA PREFERRED CARE AT HOME OF VIRGINIA BEACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:POINDEXTER
Authorized Official - Last Name:HANKINS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:757-355-5080
Mailing Address - Street 1:1520 STONEMOSS CT STE 101
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-5731
Mailing Address - Country:US
Mailing Address - Phone:757-355-5080
Mailing Address - Fax:757-355-5081
Practice Address - Street 1:1520 STONEMOSS CT STE 101
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-5731
Practice Address - Country:US
Practice Address - Phone:757-355-5080
Practice Address - Fax:757-355-5081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty