Provider Demographics
NPI:1912477860
Name:ICARE HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:ICARE HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARVINA
Authorized Official - Middle Name:R
Authorized Official - Last Name:PIGFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:757-222-5609
Mailing Address - Street 1:1035 W 25TH ST # F-6
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-1000
Mailing Address - Country:US
Mailing Address - Phone:757-222-5609
Mailing Address - Fax:757-227-4332
Practice Address - Street 1:1035 W 25TH ST # F-6
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1000
Practice Address - Country:US
Practice Address - Phone:757-222-5609
Practice Address - Fax:757-227-4332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty