Provider Demographics
NPI:1699536920
Name:A PERFECT HOME LLC.
Entity type:Organization
Organization Name:A PERFECT HOME LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/QDDP
Authorized Official - Prefix:
Authorized Official - First Name:LEMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-535-9041
Mailing Address - Street 1:1205 BAINBRIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23324-2328
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1205 BAINBRIDGE BLVD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23324-2328
Practice Address - Country:US
Practice Address - Phone:757-937-1864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services