Provider Demographics
NPI:1962840892
Name:VIRGINIA HOME HEALTH,LLC
Entity Type:Organization
Organization Name:VIRGINIA HOME HEALTH,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DYWAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:804-301-8088
Mailing Address - Street 1:7323 WINTERLEAF CT
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-2821
Mailing Address - Country:US
Mailing Address - Phone:804-301-8088
Mailing Address - Fax:
Practice Address - Street 1:7323 WINTERLEAF CT
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-2821
Practice Address - Country:US
Practice Address - Phone:804-301-8088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIRGINIA HOME HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health