Reach for Seniors LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

S3703776 Issued in VA

Legal business name

REACH FOR SENIORS LLC

Practice address

30092 Berlin Dory Rd
Sedley, VA 23878-2205

Phone

(757) 653-4616

NPI assigned

Mar 12, 2016

Last updated

Mar 12, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Priscilla Crocker

Title

Owner/Operator

Phone

(757) 653-4616

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457740800000",
    "number": "1003277427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30092 BERLIN DORY RD",
            "city": "SEDLEY",
            "state": "VA",
            "postal_code": "238782205",
            "telephone_number": "757-653-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30092 BERLIN DORY RD",
            "city": "SEDLEY",
            "state": "VA",
            "postal_code": "238782205",
            "telephone_number": "757-653-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH FOR SENIORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-12",
        "last_updated": "2016-03-12",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "757-653-4616"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "S3703776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.