Provider Demographics
NPI:1265242838
Name:EMBRACE HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:EMBRACE HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON-HASKINS
Authorized Official - Suffix:
Authorized Official - Credentials:BSW, QMHP-C
Authorized Official - Phone:757-995-8126
Mailing Address - Street 1:1657 SWEET BAY LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-7952
Mailing Address - Country:US
Mailing Address - Phone:757-995-8126
Mailing Address - Fax:
Practice Address - Street 1:1657 SWEET BAY LN
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-7952
Practice Address - Country:US
Practice Address - Phone:757-995-8126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health