Provider Demographics
NPI:1427311208
Name:ALLEGIANCE HOME CARE SERVICES, INC
Entity type:Organization
Organization Name:ALLEGIANCE HOME CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:W
Authorized Official - Last Name:EVERETT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-325-2680
Mailing Address - Street 1:11832 CANON BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-2580
Mailing Address - Country:US
Mailing Address - Phone:757-325-2680
Mailing Address - Fax:757-265-0364
Practice Address - Street 1:11832 CANON BLVD STE E
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2580
Practice Address - Country:US
Practice Address - Phone:757-325-2680
Practice Address - Fax:757-265-0364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-18
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
VA0001157536251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care