Provider Demographics
NPI:1841240843
Name:S & S HEALTH CARE, INC
Entity Type:Organization
Organization Name:S & S HEALTH CARE, INC
Other - Org Name:INTERIM HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:P
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-774-8686
Mailing Address - Street 1:4395 ELECTRIC ROAD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0721
Mailing Address - Country:US
Mailing Address - Phone:540-774-8686
Mailing Address - Fax:540-774-0279
Practice Address - Street 1:108 HOLBROOK ST
Practice Address - Street 2:SUITE 204 & 205
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-1758
Practice Address - Country:US
Practice Address - Phone:434-836-4686
Practice Address - Fax:434-836-9139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA008751251Medicaid
VA008772100Medicaid
VA112243OtherANTHEM
VA008700516Medicaid
VA008751251Medicaid