# CLOYD HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861178022
- **Authorized official:** MRS. YASMIN NIXON (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (804) 216-0407

## Contact information

- **Practice address:** 555 BELAIRE AVE STE 2102073, CHESAPEAKE, VA 23320-4783
- **Practice address phone:** (804) 216-0407
- **Mailing address:** 555 BELAIRE AVE STE 2102073, CHESAPEAKE, VA 23320-4783
- **Mailing address phone:** (757) 780-8909
- **Mailing address fax:** (757) 522-1844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/23/2023
- **Last updated:** 12/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 300177086550001 | — | VA |