Provider Demographics
NPI:1013101898
Name:ANDRESEN COMPANY LLC
Entity Type:Organization
Organization Name:ANDRESEN COMPANY LLC
Other - Org Name:VISITING ANGELS OF THE PENINSULA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ANDRESEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-599-4145
Mailing Address - Street 1:PO BOX 2477
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23609-0477
Mailing Address - Country:US
Mailing Address - Phone:757-599-4145
Mailing Address - Fax:757-599-4147
Practice Address - Street 1:704 THIMBLE SHOALS BLVD STE 600B
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4559
Practice Address - Country:US
Practice Address - Phone:757-599-4145
Practice Address - Fax:757-599-4147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care