Organization
CARE AT HOME, LLC
Active
Other names
Care At Home, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY BROOKE NICKENS (MANAGER)
(804) 210-1333
Entity
Organization
Contact information
Practice address
6834 COLEMANS CROSSING AVE STE E, HAYES, VA 23072-3337
(804) 210-1333
(804) 210-1550
Mailing address
6834 COLEMANS CROSSING AVE STE E, HAYES, VA 23072-3337
(804) 210-1333
(804) 210-1550
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
HCO-181294
VA
Other
Enumeration date
10/11/2017
Last updated
11/22/2024
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