Organization
EH HOME HEALTH OF THE MID ATLANTIC, LLC
Active
Parent organization
ENHABIT, INC.
Other names
Enhabit Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENHABIT, INC.
Authorized official
JULIE DIANE JOLLEY (EVP OF HOME HEALTH OPERATIONS)
(214) 239-6500
Entity
Organization
Contact information
Practice address
100 GATEWAY CENTRE PKWY STE 205A, NORTH CHESTERFIELD, VA 23235
(804) 377-1188
(804) 377-1189
Mailing address
6688 N CENTRAL EXPY, SUITE 1300, DALLAS, TX 75206-3950
(214) 239-6500
(214) 239-6581
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902149693
—
VA
01
—
49D0972954
CLIA
VA
Enumeration date
04/01/2013
Last updated
12/30/2024
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