# SURPASSION HEALTHCARE SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SURPASSION HEALTHCARE SERVICES INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811255359
- **Authorized official:** MRS. FLORA ANN SMITH CEO, ADMINISTRATOR (EI SERVICE COORDINATOR)
- **Authorized official phone:** (540) 412-5529

## Contact information

- **Practice address:** 4820 SOUTHPOINT DR STE 203, FREDERICKSBURG, VA 22407-2614
- **Practice address phone:** (540) 412-5529
- **Practice address fax:** (540) 412-5563
- **Mailing address:** 5006 STRAUSS CT, FREDERICKSBURG, VA 22407-7776
- **Mailing address phone:** (540) 479-2552
- **Mailing address fax:** (540) 412-5563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC2100X | Continence Care Registered Nurse | — | NULL | — |
| 163WC2100X | Continence Care Registered Nurse | — | — | — |
| 251B00000X | Case Management Agency | HCO-14985 | VA | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | HCO-14985 | VA | — |
| 251J00000X | Nursing Care Agency | HCO-14985 | VA | — |
| 252Y00000X | Early Intervention Provider Agency | — | VA | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | HCO-14985 | VA | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 05/02/2012
- **Last updated:** 09/23/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0172382647 | — | VA |
| 05 | — | 1811255359 | — | VA |