Provider Demographics
NPI:1538361563
Name:HOME HEALTH INC
Entity type:Organization
Organization Name:HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALVIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:434-581-3245
Mailing Address - Street 1:PO BOX 177
Mailing Address - Street 2:
Mailing Address - City:ARVONIA
Mailing Address - State:VA
Mailing Address - Zip Code:23004-0177
Mailing Address - Country:US
Mailing Address - Phone:434-581-3245
Mailing Address - Fax:434-581-1095
Practice Address - Street 1:26782 N JAMES MADISON HWY
Practice Address - Street 2:
Practice Address - City:NEW CANTON
Practice Address - State:VA
Practice Address - Zip Code:23123-0000
Practice Address - Country:US
Practice Address - Phone:434-581-3245
Practice Address - Fax:434-581-1095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4970110Medicaid
VA0861570002Medicare NSC