Provider Demographics
NPI:1013488683
Name:BUTLER'S EMPIRE HOME HEALTH CARE
Entity Type:Organization
Organization Name:BUTLER'S EMPIRE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:SHENAE
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-244-4333
Mailing Address - Street 1:11834 CANON BLVD STE K-1
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-2581
Mailing Address - Country:US
Mailing Address - Phone:757-244-4333
Mailing Address - Fax:757-244-4388
Practice Address - Street 1:11834 CANON BLVD STE K-1
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2581
Practice Address - Country:US
Practice Address - Phone:757-244-4333
Practice Address - Fax:757-244-4388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-07
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0782206350Medicaid