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Organization
MIDDLEBURG HOMECAE
Active
Organization
MIDDLEBURG HOMECAE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LANE RN (ADMINISTRATOR)
(540) 316-7515
Entity
Organization
Contact information
Practice address
6487 MAIN ST, THE PLAINS, VA 20198
(540) 883-3122
(540) 277-2518
Mailing address
PO BOX 544, MIDDLEBURG, VA 20118-0544
(540) 883-3122
(540) 277-2518
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
NULL
163WI0500X
Infusion Therapy Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
343800000X
Secured Medical Transport (VAN)
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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