Provider Demographics
NPI:1780158006
Name:MANAGED CARE HOME HEALTH LLC
Entity type:Organization
Organization Name:MANAGED CARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RASHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-380-5385
Mailing Address - Street 1:300 25TH ST APT 126
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-3494
Mailing Address - Country:US
Mailing Address - Phone:336-380-5385
Mailing Address - Fax:
Practice Address - Street 1:300 25TH ST APT 126
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-3494
Practice Address - Country:US
Practice Address - Phone:336-380-5385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-21
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health