Provider Demographics
NPI:1194291104
Name:SACRED HANDS HOME HEALTH CARE AND SERVICES
Entity type:Organization
Organization Name:SACRED HANDS HOME HEALTH CARE AND SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MISS
Authorized Official - First Name:TERRIKA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:757-271-3100
Mailing Address - Street 1:5215 COLLEY AVE STE 134
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23508-2172
Mailing Address - Country:US
Mailing Address - Phone:757-271-3100
Mailing Address - Fax:757-847-5007
Practice Address - Street 1:5215 COLLEY AVE STE 134
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23508-2172
Practice Address - Country:US
Practice Address - Phone:757-271-3100
Practice Address - Fax:757-847-5007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA11942911004Medicaid