Provider Demographics
NPI:1124078886
Name:S & S HEALTH CARE, INC.
Entity type:Organization
Organization Name:S & S HEALTH CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:P
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-774-8686
Mailing Address - Street 1:4395 ELECTRIC ROAD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0721
Mailing Address - Country:US
Mailing Address - Phone:540-774-8686
Mailing Address - Fax:540-774-0279
Practice Address - Street 1:201 WHEATLAND CT
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-1091
Practice Address - Country:US
Practice Address - Phone:540-381-2757
Practice Address - Fax:540-381-2769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA112237OtherANTHEM
VA008702683Medicaid
VA008770794Medicaid
VA008750785Medicaid
VA008702683Medicaid