Provider Demographics
NPI:1891586731
Name:HOME-HEALTHMED SERVICES, LLC
Entity type:Organization
Organization Name:HOME-HEALTHMED SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:PETWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-637-7223
Mailing Address - Street 1:739 HIGH STREET
Mailing Address - Street 2:SUITE 106
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23704
Mailing Address - Country:US
Mailing Address - Phone:703-637-9551
Mailing Address - Fax:757-367-8995
Practice Address - Street 1:5127 E VIRGINIA BEACH BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502
Practice Address - Country:US
Practice Address - Phone:703-637-9551
Practice Address - Fax:757-367-8995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty