# GROWTH HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Growth Pediatric Home Health Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306345806
- **Authorized official:** MR. RONNIE D GAY (CEO)
- **Authorized official phone:** (757) 774-8941

## Contact information

- **Practice address:** 15064 CARROLLTON BLVD, CARROLLTON, VA 23314-3582
- **Practice address phone:** (757) 774-8941
- **Mailing address:** 15064 CARROLLTON BLVD, CARROLLTON, VA 23314-3582
- **Mailing address phone:** (757) 774-8941
- **Mailing address fax:** (757) 299-4801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/09/2018
- **Last updated:** 08/19/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1073025425 | NPI TYPE 1 | VA |