# FORECASTLE PROFESSIONAL AND HOME HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FORECASTLE HOME AND HEALTHCARE SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922473263
- **Authorized official:** MR. RODDY ROBERT ANNAN (DIRECTOR)
- **Authorized official phone:** (703) 537-9776

## Contact information

- **Practice address:** 117 W BOSCAWEN ST, SUITE 2, WINCHESTER, VA 22601-4140
- **Practice address phone:** (703) 649-4494
- **Practice address fax:** (540) 486-4702
- **Mailing address:** 104 PROVIDENCE DR, WINCHESTER, VA 22602-6168
- **Mailing address phone:** (703) 649-4494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | VA | — |
| 251E00000X | Home Health Agency | — | VA | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 12/12/2015
- **Last updated:** 04/22/2022