Provider Demographics
NPI:1396284956
Name:TOGETHER TIME LLC
Entity type:Organization
Organization Name:TOGETHER TIME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TASHALY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:QIDP
Authorized Official - Phone:757-770-2512
Mailing Address - Street 1:PO BOX 2372
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23450-2372
Mailing Address - Country:US
Mailing Address - Phone:757-770-2512
Mailing Address - Fax:
Practice Address - Street 1:545 HANNIBAL ST
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-4142
Practice Address - Country:US
Practice Address - Phone:757-770-2512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA24443747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA=========Medicaid