Provider Demographics
NPI:1891141594
Name:HEALTH PRO HOMECARE SERVICES INC
Entity type:Organization
Organization Name:HEALTH PRO HOMECARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SYLVESTER
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:III
Authorized Official - Credentials:MBA
Authorized Official - Phone:252-702-1370
Mailing Address - Street 1:400 SOUTHLAKE BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-3061
Mailing Address - Country:US
Mailing Address - Phone:804-464-2401
Mailing Address - Fax:804-893-4703
Practice Address - Street 1:400 SOUTHLAKE BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-3061
Practice Address - Country:US
Practice Address - Phone:804-464-2401
Practice Address - Fax:804-893-4703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-11
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health