# RUTH'S AND HATTIE'S GRANDDAUGHTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Comfort Keepers \#1027
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457865628
- **Authorized official:** MRS. JENNIFER SOURS CUBBAGE RN (RN/PRESIDENT)
- **Authorized official phone:** (540) 773-2211

## Contact information

- **Practice address:** 3042 VALLEY AVE STE 102, WINCHESTER, VA 22601-2669
- **Practice address phone:** (540) 773-2211
- **Practice address fax:** (540) 773-2866
- **Mailing address:** 3042 VALLEY AVE STE 102, WINCHESTER, VA 22601-2669
- **Mailing address phone:** (540) 773-2211
- **Mailing address fax:** (540) 773-2866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 11/27/2017
- **Last updated:** 06/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | S698774-9 | STATE CORPORATION COMMISSION | VA |