# JENESYS HOME HEALTH CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jenesys HHCS, Jenesys Home Health Care Services Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841722600
- **Authorized official:** SHANTE HALL (ADMINISTRATOR)
- **Authorized official phone:** (757) 420-0566

## Contact information

- **Practice address:** 1613 S CHURCH ST STE 6, SMITHFIELD, VA 23430-1831
- **Practice address phone:** (757) 356-0566
- **Practice address fax:** (757) 356-0599
- **Mailing address:** 676 BATTLEFIELD BLVD N STE A, CHESAPEAKE, VA 23320-0306
- **Mailing address phone:** (757) 420-0566
- **Mailing address fax:** (757) 420-0599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO171051 | VA | Yes |
| 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

- **Enumeration date:** 03/31/2017
- **Last updated:** 10/23/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1245574284 | — | VA |