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Resilient1 Healthcare LLC

In Home Supportive Care in Portsmouth, VA. Organization (NPI-2).

NPI number1104787472
StatusActive
Last updated in NPPESNov 18, 2025

Details

NPI
1104787472
Entity type
Organization (NPI-2)
Legal business name
Resilient1 Healthcare LLC
Organization subpart
No
Enumeration date
Nov 18, 2025
Certification date
Nov 18, 2025
Last updated
Nov 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
385H00000X Respite Care––
3747P1801X Technician, Personal Care Attendant––

Practice location

3276 Academy Ave # 12
Portsmouth, VA 23703-3203

Phone 757-729-5687 · Fax 948-206-1786

Mailing address

3276 Academy Ave # 12
Portsmouth, VA 23703-3203

Phone 757-729-5687 · Fax 948-206-1786

Authorized official

Alvonda Evans
Administrator
7577295687

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