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Nine Palms 1, Llc
Home Health Agency in Williamsburg, Virginia
NPI 1518912377

Nine Palms 1, Llc is a Home Health Agency based in Baton Rouge, VA. Nine Palms 1, Llc practices in Williamsburg, VA. The NPI Number for Nine Palms 1, Llc is 1518912377 and holds a License No. (Virginia).

The current practice location address for Nine Palms 1, Llc is 460 Mclaws Cir, Williamsburg, VA and can be reached out via phone at 757-253-2536 and via fax at 757-253-8086.

Location: 460 Mclaws Cir, Williamsburg, VA, 70816-4013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518912377
Provider Name
Nine Palms 1, Llc
Credential
Provider Entity Type
Organization
Address
460 Mclaws Cir, Williamsburg, VA, 70816-4013
Phone Number
757-253-2536
Fax Number
757-253-8086
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004971159 01 VA VA PRIEIMER HEALTH PLAN
442171 01 VA BCBS VA ANTHEM
004971248 01 VA VA PRIEIMER HEALTH PLAN
226349 01 VA MAMSI HEALTH PLANS
442173 01 VI BCBS VA ANTHEM
442175 01 VA BCBS VA ANTHEM
442235 01 VA BCBS VA ANTHEM
5965078 01 VA AETNA US HEALTH CARE
010194881 05 VA
299072 01 VA MAMSI HEALTH PLANS
4971159 05 VA
1851340 01 VA CIGNA
4971248 05 VA
4971264 05 VA
19649 01 VA SENTARA HEALTH PLAN
236402 01 VA MAMSI
4971256 05 VA
institution
Provider Business Practice Location Address Details
Address
460 Mclaws Cir
City
Williamsburg
State
Virginia
Zip
23185-5671
Phone Number
757-253-2536
Fax Number
757-253-8086
person
Provider Business Mailing Address Details
Address
460 Mclaws Cir
City
Williamsburg
State
Virginia
Zip
23185-5671
Phone Number
757-253-2536
Fax Number
757-253-8086
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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