Provider Demographics
NPI:1922474055
Name:TOTAL CARE OF VIRGINIA, LLC
Entity Type:Organization
Organization Name:TOTAL CARE OF VIRGINIA, LLC
Other - Org Name:TOTAL CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-224-7986
Mailing Address - Street 1:PO BOX 8227
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-0280
Mailing Address - Country:US
Mailing Address - Phone:757-224-7986
Mailing Address - Fax:757-325-8321
Practice Address - Street 1:2021B CUNNINGHAM DR
Practice Address - Street 2:SUITE 3
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3326
Practice Address - Country:US
Practice Address - Phone:757-224-7986
Practice Address - Fax:757-325-8321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health