Provider Demographics
NPI:1942743893
Name:TREASURE KEEPERS HOME HEALTH,LLC
Entity Type:Organization
Organization Name:TREASURE KEEPERS HOME HEALTH,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:ROMONIA
Authorized Official - Last Name:DANCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-925-3772
Mailing Address - Street 1:112 W WASHINGTON ST
Mailing Address - Street 2:SUITE M4
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-5246
Mailing Address - Country:US
Mailing Address - Phone:757-925-3772
Mailing Address - Fax:757-925-3774
Practice Address - Street 1:112 W WASHINGTON ST
Practice Address - Street 2:SUITE M4
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-5246
Practice Address - Country:US
Practice Address - Phone:757-925-3772
Practice Address - Fax:757-925-3774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-27
Last Update Date:2016-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-171545251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health