# AGEWELL HOME HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1376014605
- **Authorized official:** CAROMEKIA PARKER (CEO)
- **Authorized official phone:** (757) 956-5066

## Contact information

- **Practice address:** 355 CRAWFORD ST STE 501, PORTSMOUTH, VA 23704-2822
- **Practice address phone:** (757) 749-0460
- **Mailing address:** 955 AIRPORT RD, DESTIN, FL 32541-2815

## Taxonomy

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

## Other

- **Enumeration date:** 12/16/2018
- **Last updated:** 08/15/2019