Provider Demographics
NPI:1922667849
Name:A1 IN HOMECARE LLC
Entity Type:Organization
Organization Name:A1 IN HOMECARE LLC
Other - Org Name:A1 IN HOMECARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TUIZ
Authorized Official - Middle Name:J
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-582-2990
Mailing Address - Street 1:4740 W NORFOLK RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-2228
Mailing Address - Country:US
Mailing Address - Phone:757-582-2990
Mailing Address - Fax:757-484-3707
Practice Address - Street 1:4740 W NORFOLK RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-2228
Practice Address - Country:US
Practice Address - Phone:757-967-8008
Practice Address - Fax:757-956-5497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health