Provider Demographics
NPI:1801239405
Name:ALL ABOUT YOU HEALTH CARE SERVICES
Entity type:Organization
Organization Name:ALL ABOUT YOU HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTRED NURSE
Authorized Official - Phone:757-673-4900
Mailing Address - Street 1:5911 PORTSMOUTH BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23701-1445
Mailing Address - Country:US
Mailing Address - Phone:757-673-4900
Mailing Address - Fax:757-673-5461
Practice Address - Street 1:5911 PORTSMOUTH BLVD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23701-1445
Practice Address - Country:US
Practice Address - Phone:757-673-4900
Practice Address - Fax:757-673-5461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-12
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA497633251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0171107300Medicaid
VA0170470782Medicaid
VA0171106757Medicaid