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Provider Source Home Health Care
Home Health Agency in Norfolk, Virginia
NPI 1396330890

Provider Source Home Health Care is a Home Health Agency based in Norfolk, VA. Provider Source Home Health Care practices in Norfolk, VA. The NPI Number for Provider Source Home Health Care is 1396330890 and holds a License No. (Virginia).

The current practice location address for Provider Source Home Health Care is 2211 Pretty Lake Ave Unit 403, Norfolk, VA and can be reached out via phone at 757-324-2979 and via fax at 757-257-4575.

Location: 2211 Pretty Lake Ave Unit 403, Norfolk, VA, 23518-1047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396330890
Provider Name
Provider Source Home Health Care
Credential
Provider Entity Type
Organization
Address
2211 Pretty Lake Ave Unit 403, Norfolk, VA, 23518-1047
Phone Number
757-324-2979
Fax Number
757-257-4575
Provider Enumeration Date
03/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2211 Pretty Lake Ave Unit 403
City
Norfolk
State
Virginia
Zip
23518-1047
Phone Number
757-324-2979
Fax Number
757-257-4575
person
Provider Business Mailing Address Details
Address
2211 Pretty Lake Ave Unit 403
City
Norfolk
State
Virginia
Zip
23518-1047
Phone Number
757-324-2979
Fax Number
757-257-4575
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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