PERSONAL HOMECARE INC (NPI# 1114006962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114006962 |
| Entity Type | Organization |
| Organization Name | PERSONAL HOMECARE INC |
| Practice Address |
425 Main Street South Boston VA 24592 |
| Practice Telephone | 4345721028 |
| Practice Fax Number | 4345722631 |
| Mailing Telephone | 4345721028 |
| Mailing Fax Number | 4345722631 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ALFRED LEE BURKHOLDER JR. (ADMINISTRATOR) |
| Authorized Official Telephone | 4345721582 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 251J00000X | Nursing Care | EXEMPT | VA | Agencies |
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 00875111 | 05 | |
| VA | PRIVATE DUTY NURSING | 104815 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881773638 | Personal Homecare Inc | Durable Medical Equipment & Medical Supplies | 860 N Mecklenburg Ave, South Hill, VA 23970 | 2006-11-03 |
| 1396839312 | Personal Homecare Inc | Durable Medical Equipment & Medical Supplies | 2808 Old Forest Road, Lynchburg, VA 24501 | 2006-10-03 |
| 1821139379 | Personal Homecare Inc | Nursing Care | 2808 Old Forest Road, Lynchburg, VA 24502-2338 | 2007-02-09 |
| 1811035645 | Personal Homecare Inc | Nursing Care | 425 Main Street, South Boston, VA 24592-1006 | 2007-02-02 |
| 1891833638 | Personal Homecare Inc | Nursing Care | 860 N Mecklenburg Ave, South Hill, VA 23970-4001 | 2007-02-02 |
| Street Address |
425 MAIN STREET |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811035645 | Personal Homecare Inc | Nursing Care | 425 Main Street, South Boston, VA 24592-1006 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811035645 | Personal Homecare Inc | Nursing Care | 425 Main Street, South Boston, VA 24592-1006 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322198 | Sister's Connecting Hearts LLC. | Nursing Care | 1413 Old Bronze Rd, Henrico, VA 23231-4710 | 2020-10-03 |
| 1629686159 | Sylvia's Angels Care | Nursing Care | 184 Revelle Dr, Newport News, VA 23608-2518 | 2020-07-21 |
| 1669095725 | Cynthia's Village Home and Healthcare Services, LLC | Nursing Care | 8 Treebark Pl, Hampton, VA 23666-2179 | 2020-05-24 |
| 1215558234 | Karen Lorena Ruiz Escobar | Nursing Care | 4341 Americana Dr, Annandale, VA 22003-5376 | 2020-04-30 |
| 1215561725 | Oaktree Home, LLC | Nursing Care | 2825 Aaron Dr, Chesapeake, VA 23323-2915 | 2020-02-24 |
| 1184264756 | Light and Glory LLC | Nursing Care | 1513 Mallory Ct, Virginia Beach, VA 23464-6419 | 2020-01-13 |
| 1376188912 | A & J Residential Services LLC | Nursing Care | 2022 Country Lane Ct, Petersburg, VA 23805-2005 | 2019-11-07 |
| 1437792850 | Madirose | Nursing Care | 105 Oronoco St Ste 100, Alexandria, VA 22314-2089 | 2019-10-18 |
| 1447801212 | I Heart Medical Home Care, LLC | Nursing Care | 320 E Broadway Ave Ste 205, Hopewell, VA 23860-2812 | 2019-09-24 |
| 1518516012 | Cheerful Hands Home Care | Nursing Care | 2072 Freeney Ave, Suffolk, VA 23434-3200 | 2019-09-06 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
Please comment or provide details below to improve the information on PERSONAL HOMECARE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.