Provider Demographics
NPI:1255741427
Name:COMPANION OF LOVE HOME HEALTHCARE
Entity type:Organization
Organization Name:COMPANION OF LOVE HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:SKINNER
Authorized Official - Suffix:
Authorized Official - Credentials:PCA
Authorized Official - Phone:757-925-3711
Mailing Address - Street 1:605 COUNTY ST
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-4727
Mailing Address - Country:US
Mailing Address - Phone:757-925-3711
Mailing Address - Fax:757-925-4220
Practice Address - Street 1:424 MARKET ST STE 104
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-5249
Practice Address - Country:US
Practice Address - Phone:757-925-3711
Practice Address - Fax:757-925-4220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001173248385H00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care