Organization Active NPI

Bethel Skilled Health Care LLC

Doing business as Bethel Skilled Home Care LLC

  • Primary Care Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1003439472
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
BETHEL SKILLED HEALTH CARE LLC
Doing business as
Bethel Skilled Home Care LLC
Practice address
14407 Justice Rd
Midlothian, VA 23113-6875
Phone
(804) 274-0262
NPI assigned
May 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Dr. Jessy Nwuba, REGISTERED NURSENPI 1003543984
Title
Administrator/Owner
Phone
(804) 274-0262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

14407 Justice Rd
Midlothian, VA 23113-6875

Mailing address

14407 Justice Rd
Midlothian, VA 23113-6875
Phone (804) 274-0262

Other names 1

  • Bethel Skilled Home Care LLC Doing business as

National Provider Directory

National Provider Directory

Locations

14407 Justice Rd
Midlothian, VA 23113
Phone (804) 274-0262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1003439472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14407 JUSTICE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136875",
            "telephone_number": "804-274-0262",
            "fax_number": "804-374-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14407 JUSTICE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136875",
            "telephone_number": "804-274-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL SKILLED HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "NWUBA",
        "authorized_official_first_name": "JESSY",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "804-274-0262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethel Skilled Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.