Provider Demographics
NPI:1316491053
Name:POSITIVE HEALTHCARE, LLC
Entity type:Organization
Organization Name:POSITIVE HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERMAGEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:804-731-3760
Mailing Address - Street 1:2570 NEW MARKET RD
Mailing Address - Street 2:BLDG E
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-7062
Mailing Address - Country:US
Mailing Address - Phone:804-731-3760
Mailing Address - Fax:804-748-6725
Practice Address - Street 1:2570 NEW MARKET RD
Practice Address - Street 2:BLDG E
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-7062
Practice Address - Country:US
Practice Address - Phone:804-731-3760
Practice Address - Fax:804-748-6725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-171499251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health