Provider Demographics
NPI:1356066468
Name:SHIELDING ARMS HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:SHIELDING ARMS HOME HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-449-5037
Mailing Address - Street 1:110 MAYCOX AVE STE 9C
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-3433
Mailing Address - Country:US
Mailing Address - Phone:757-937-8455
Mailing Address - Fax:
Practice Address - Street 1:110 MAYCOX AVE STE 9C
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-3433
Practice Address - Country:US
Practice Address - Phone:757-937-8455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health