Organization
SENTARA ENTERPRISES
Active
Parent organization
SENTARA ENTERPRISES
Other names
Sentara Home Care Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENTARA ENTERPRISES
Authorized official
KIM BRADLEY (VICE PRESIDENT, SENTARA ENTERPRISES)
(757) 553-3000
Entity
Organization
Contact information
Practice address
535 INDEPENDENCE PKWY, SUITE 300, CHESAPEAKE, VA 23320-5176
(757) 382-4980
(787) 382-4957
Mailing address
535 INDEPENDENCE PKWY, SUITE 300, CHESAPEAKE, VA 23320-5176
(757) 553-3000
(787) 382-4957
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
0201003309
VA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008502170
—
VA
01
—
277267
BLUE CROSS
—
Enumeration date
11/09/2006
Last updated
06/29/2021
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