Provider Demographics
NPI:1295088268
Name:VIRGINIA HOME HEALTH & HOSPICE CARE, INC.
Entity type:Organization
Organization Name:VIRGINIA HOME HEALTH & HOSPICE CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:M
Authorized Official - Last Name:GLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-575-5200
Mailing Address - Street 1:7061 W LEE HWY STE B
Mailing Address - Street 2:
Mailing Address - City:RURAL RETREAT
Mailing Address - State:VA
Mailing Address - Zip Code:24368-2933
Mailing Address - Country:US
Mailing Address - Phone:276-686-6321
Mailing Address - Fax:276-686-6160
Practice Address - Street 1:7061 W LEE HWY STE B
Practice Address - Street 2:
Practice Address - City:RURAL RETREAT
Practice Address - State:VA
Practice Address - Zip Code:24368-2933
Practice Address - Country:US
Practice Address - Phone:276-686-6321
Practice Address - Fax:276-686-6160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHSP-16233251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA49-1550OtherMEDICARE HOSPICE PTAN
VA1295088268OtherMEDICAID - HOSPICE
VAHSP-16233OtherVDH, HOSPICE LICENSE