# QUALITY CARE HOME HEALTH SERVICE, LLC

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

## Provider details

- **NPI number:** 1245851088
- **Authorized official:** MIKAYLAH IYONNA LANG (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (757) 287-0499

## Contact information

- **Practice address:** 4505 GEORGEWASHINGTON HWY, PORTSMOUTH, VA 23702
- **Practice address phone:** (757) 956-6200
- **Practice address fax:** (757) 410-4210
- **Mailing address:** 4505 GEORGEWASHINGTON HWY, PORTSMOUTH, VA 23702
- **Mailing address phone:** (757) 956-6200
- **Mailing address fax:** (757) 410-4210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 05/04/2020
- **Last updated:** 08/28/2025
