Provider Demographics
NPI:1205043932
Name:HOME CARE WITH EDNA EARL, LLC
Entity type:Organization
Organization Name:HOME CARE WITH EDNA EARL, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:
Authorized Official - Last Name:EARL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-622-1571
Mailing Address - Street 1:1130 TABB STREET
Mailing Address - Street 2:SUITE D
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504
Mailing Address - Country:US
Mailing Address - Phone:757-622-1571
Mailing Address - Fax:757-622-1572
Practice Address - Street 1:1130 TABB STREET
Practice Address - Street 2:SUITE D
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504
Practice Address - Country:US
Practice Address - Phone:757-622-1571
Practice Address - Fax:757-622-1572
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPEN ARMS PERSONAL CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-16
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Single Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty