Provider Demographics
NPI:1700348919
Name:HASLUP PERSONAL CARE ENTERPRISES, LTD.
Entity Type:Organization
Organization Name:HASLUP PERSONAL CARE ENTERPRISES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:NAGLE
Authorized Official - Last Name:HASLUP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-295-5501
Mailing Address - Street 1:103 S PANTOPS DR STE 205
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8617
Mailing Address - Country:US
Mailing Address - Phone:434-295-5501
Mailing Address - Fax:434-295-4938
Practice Address - Street 1:103 S PANTOPS DR STE 205
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8617
Practice Address - Country:US
Practice Address - Phone:434-295-5501
Practice Address - Fax:434-295-4938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO-2067OtherHOME CARE ORGANIZATION LICENSE