Provider Demographics
NPI:1700164506
Name:ALL-4-ONE HOME HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:ALL-4-ONE HOME HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESPERANZA
Authorized Official - Middle Name:PRESA
Authorized Official - Last Name:FORONDA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:757-962-7838
Mailing Address - Street 1:1629 SALEM ROAD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-5494
Mailing Address - Country:US
Mailing Address - Phone:757-962-7838
Mailing Address - Fax:757-962-5759
Practice Address - Street 1:1629 SALEM RD
Practice Address - Street 2:SUITE 101
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-5494
Practice Address - Country:US
Practice Address - Phone:757-962-7838
Practice Address - Fax:757-962-5759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-27
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO12567251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1598932188Medicaid
VA497690Medicare Oscar/Certification