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Organization
SENTARA ENTERPRISES
Active
Organization
SENTARA ENTERPRISES
Active
Other names
Sentara Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA L EDWARDS (PRESIDENT)
(757) 553-3000
Entity
Organization
Contact information
Practice address
103 OLD CHURCH STREET, LOW MOOR, VA 24457-9997
(540) 863-2140
(540) 862-2094
Mailing address
535 INDEPENDENCE PKWY, SUITE 200, CHESAPEAKE, VA 23320-5176
(757) 553-3000
(757) 382-4957
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NA
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
442031
ANTHEM PROVIDER NUMBER
VA
05
—
4970365
—
VA
01
—
VA497700
OASIS IDENTIFIER
VA
01
—
VA8606
OBQI IDENTIFIER
VA
Enumeration date
09/19/2005
Last updated
01/09/2020
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