Personal Homecare Inc in South Boston - Respite Care, Mental Illness, Child
Personal Homecare Inc - NPI 1114006962
Personal Homecare Inc is a Respite Care, Mental Illness, Child in South Boston, Virginia. Personal Homecare Inc practices all healthcare services and medical treatments related to Respite Care, Mental Illness, Child. The NPI Number for Personal Homecare Inc is 1114006962. The last update date is 2023-11-20.
Personal Homecare Inc's current location address is 425 Main Street, South Boston, Virginia. You can contact this provider via phone number 4345721028 and fax number 4345722631. The mailing address for Personal Homecare Inc is 425 Main Street, South Boston, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Personal Homecare Inc |
|---|---|
| Address | 425 Main Street, South Boston, Virginia |
| Phone Number | 4345721028 |
| Fax Number | 4345722631 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Burkholder Lee Alfred |
| Telephone Number | 4345721582 |
NPI Number Detail
| NPI Number | 1114006962 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2023-11-20 |
Provider Mailing Address Detail
| Address | 425 Main Street |
|---|---|
| City | South Boston |
| State | Virginia (VA) |
| Post Code | 24592 |
| Phone Number | 4345721028 |
| Fax Number | 4345722631 |
Provider's Primary Taxonomy Detail
| Speciality | Respite Care, Mental Illness, Child |
|---|---|
| Taxonomy | 385Hr2055X |
|
Definition: A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8751013 | VA | -- | |
| 875111 | VA | -- | |
| 9106235 | VA | -- | |
| 104815 | VA | PRIVATE DUTY NURSING |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Personal Homecare Inc by the Centers for Medicare & Medicaid Services?
The Personal Homecare Inc has been issued the NPI (National Provider Identifier) 1114006962, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Personal Homecare Inc is physically located?
The Personal Homecare Inc is physically situated at the following address: 425 Main Street, South Boston, VA, 24592.
What is Personal Homecare Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Personal Homecare Inc's area of specialization is Respite Care, Mental Illness, Child, and the corresponding taxonomy code that categorizes this field of practice is 385Hr2055X.
On what date did the Personal Homecare Inc receive its 1114006962 assignment from the Centers for Medicare & Medicaid Services?
The Personal Homecare Inc was assigned its 1114006962 by the Centers for Medicare & Medicaid Services on 2006-11-03.
As of what date were the Personal Homecare Inc's details last updated?
The information pertaining to the Personal Homecare Inc, including its address, specialty, and other details, was most recently updated on 2023-11-20.