Provider Demographics
NPI:1548927064
Name:PERIMETER HOME HEALTH LLC
Entity type:Organization
Organization Name:PERIMETER HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ ADMIN/ DON
Authorized Official - Prefix:
Authorized Official - First Name:BRITNEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:RIDDICK
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN CDP
Authorized Official - Phone:757-739-6395
Mailing Address - Street 1:540 E CONSTANCE RD
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-3004
Mailing Address - Country:US
Mailing Address - Phone:757-935-5300
Mailing Address - Fax:833-716-1119
Practice Address - Street 1:540 E CONSTANCE RD
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-3004
Practice Address - Country:US
Practice Address - Phone:757-935-5300
Practice Address - Fax:833-716-1119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-18
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health