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Organization
JENESYS HOME HEALTH CARE SERVICES LLC
Active
Organization
JENESYS HOME HEALTH CARE SERVICES LLC
Active
Other names
Jenesys HHCS, Jenesys Home Health Care Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTE HALL (ADMINISTRATOR)
(757) 420-0566
Entity
Organization
Contact information
Practice address
1613 S CHURCH ST STE 6, SMITHFIELD, VA 23430-1831
(757) 356-0566
(757) 356-0599
Mailing address
676 BATTLEFIELD BLVD N STE A, CHESAPEAKE, VA 23320-0306
(757) 420-0566
(757) 420-0599
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO171051
VA
251J00000X
Nursing Care Agency
HCO171051
VA
314000000X
Skilled Nursing Facility
—
NULL
385H00000X
Respite Care
HCO171051
VA
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245574284
—
VA
Enumeration date
03/31/2017
Last updated
10/23/2019
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