Provider Demographics
NPI:1699224295
Name:NORFOLK SENIOR CARE LLC
Entity type:Organization
Organization Name:NORFOLK SENIOR CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SECONDINO
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:757-228-3276
Mailing Address - Street 1:6040 E VIRGINIA BEACH BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-2474
Mailing Address - Country:US
Mailing Address - Phone:757-228-3276
Mailing Address - Fax:757-228-5832
Practice Address - Street 1:6040 E VIRGINIA BEACH BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-2474
Practice Address - Country:US
Practice Address - Phone:757-228-3276
Practice Address - Fax:757-228-5832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-25
Last Update Date:2016-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO17528253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care