Provider Demographics
NPI:1740511419
Name:HEALTH PARTNERS HOME CARE INC.
Entity type:Organization
Organization Name:HEALTH PARTNERS HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCELLA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-224-2134
Mailing Address - Street 1:26 TOWN CENTER WAY
Mailing Address - Street 2:SUITE 121
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-1999
Mailing Address - Country:US
Mailing Address - Phone:757-224-2134
Mailing Address - Fax:757-224-2136
Practice Address - Street 1:1919 COMMERCE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-4269
Practice Address - Country:US
Practice Address - Phone:757-224-2134
Practice Address - Fax:757-224-2136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1740511419Medicaid
VA1740511419Medicaid