Organization · Type 2 NPI

Sentara Enterprises

Home Infusion Agency · Chesapeake, VA

NPI number 1174693592 Active

Practice location

535 Independence Pkwy, Suite 300
Chesapeake, VA 23320-5176

Fax (787) 382-4957

Specialties and licenses

Taxonomy	Code	License
Home Infusion Agency Primary	251F00000X	None listed
Infusion Therapy Clinic/Center	261QI0500X	0201003309 (VA)
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Specialty Pharmacy	3336S0011X	None listed

Home Infusion Agency: Definition to come...

8 other providers at this address

NPI record

NPI: 1174693592
Entity type: Organization (Type 2)
Issued: Nov 9, 2006
Last updated: Jun 29, 2021
Status: Active
Subpart: Yes of Sentara Enterprises

Other names

<unavail>
Sentara Home Care Services · other name
Sentara Home Care Services · other name

Authorized official

Kim Bradley
Vice President, Sentara Enterprises
(757) 553-3000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174693592

Sentara Enterprises's National Provider Identifier is 1174693592, issued on Nov 9, 2006. The primary taxonomy on file is Home Infusion Agency (251F00000X), and the practice location is in Chesapeake, VA. The record was last updated on Jun 29, 2021.