# HCC PERSONAL CARE INC

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

## Provider details

- **NPI number:** 1396899829
- **Authorized official:** MR. W JACKSON NELMS IV (OWNER)
- **Authorized official phone:** (804) 378-7780

## Contact information

- **Practice address:** 1519 HUGUENOT RD STE 104, MIDLOTHIAN, VA 23113
- **Practice address phone:** (804) 378-7780
- **Practice address fax:** (804) 378-2677
- **Mailing address:** 1519 HUGUENOT RD STE 104, MIDLOTHIAN, VA 23113
- **Mailing address phone:** (804) 378-7780
- **Mailing address fax:** (804) 378-2677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 008702659 | VA | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 06/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009102566 | — | VA |
| 05 | — | 010004217 | — | VA |