Provider Demographics
NPI:1942605753
Name:SIMPLYCARE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:SIMPLYCARE HOME HEALTH CARE LLC
Other - Org Name:SIMPLYCARE HOME HEALTH CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:KINDRA
Authorized Official - Middle Name:RONEE
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-484-1582
Mailing Address - Street 1:3105 WESTERN BRANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5543
Mailing Address - Country:US
Mailing Address - Phone:757-484-1582
Mailing Address - Fax:757-484-5100
Practice Address - Street 1:3105 WESTERN BRANCH BLVD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-5543
Practice Address - Country:US
Practice Address - Phone:757-484-1582
Practice Address - Fax:757-484-5100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health