Provider Demographics
NPI:1497580880
Name:HOME CARE OF VA
Entity type:Organization
Organization Name:HOME CARE OF VA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMANI
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEARINGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-218-4735
Mailing Address - Street 1:5309 COMMONWEALTH CENTRE PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2633
Mailing Address - Country:US
Mailing Address - Phone:804-218-4735
Mailing Address - Fax:
Practice Address - Street 1:8025 CALLISON DR
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-2202
Practice Address - Country:US
Practice Address - Phone:804-218-4735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services