Organization
PONDEROSA HOME HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINIKA ANDAWANDA BALL (ADMINISTRATOR)
(804) 472-7525
Entity
Organization
Contact information
Practice address
3449 SANDY POINT RD, KINSALE, VA 22488-2535
(804) 472-7525
Mailing address
3449 SANDY POINT RD, KINSALE, VA 22488-2535
(804) 472-7525
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/30/2025
Last updated
07/02/2025
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