# AT HOME HEALING LLC

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

## Provider details

- **NPI number:** 1629967948
- **Authorized official:** RAVEN WALKER (CEO)
- **Authorized official phone:** (757) 237-5653

## Contact information

- **Practice address:** 302 COLUMBIA AVE, HAMPTON, VA 23669-4318
- **Practice address phone:** (757) 237-5653
- **Mailing address:** 302 COLUMBIA AVE, HAMPTON, VA 23669-4318
- **Mailing address phone:** (757) 237-5653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0400X | Case Management Registered Nurse | — | — | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2025
- **Last updated:** 07/01/2025