# DOMINION EVERCARE HOME AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144171364
- **Authorized official:** MISUN KIM (PRESIDENT)
- **Authorized official phone:** (929) 709-6353

## Contact information

- **Practice address:** 12138 GREY OAKS PARK RD, GLEN ALLEN, VA 23059-5781
- **Practice address phone:** (929) 990-7030
- **Mailing address:** 12138 GREY OAKS PARK RD, GLEN ALLEN, VA 23059-5781
- **Mailing address phone:** (929) 709-6353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2026
- **Last updated:** 02/19/2026