Individual provider Active NPI

Eulamae Rutledge Myers

  • Developmentally Disabled Services Day Training Agency
  • Virginia Beach, VA
National Provider Identifier
1003638073
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
60808011 Issued in VA
Practice address
370 Cleveland PL
Virginia Beach, VA 23462-6529
Phone
(757) 718-3675
Fax
(757) 321-8837
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 60802006 VA
Developmentally Disabled Services Day Training Agency 251C00000X 60802008 VA
In Home Supportive Care Agency 253Z00000X 60808011 VA
Developmentally Disabled Services Day Training Agency 251C00000X 60808011 VA Primary

Addresses

Primary practice location

370 Cleveland PL
Virginia Beach, VA 23462-6529

Mailing address

370 Cleveland PL
Virginia Beach, VA 23462-6529
Phone (757) 718-3675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60802006VAMDDevelopmentally Disabled Services Day Training Agency
60802008VAMDDevelopmentally Disabled Services Day Training Agency
60808011VAMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Visions Community Services,LLC PastSince Nov 3, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1003638073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CLEVELAND PL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626529",
            "telephone_number": "757-718-3675",
            "fax_number": "757-321-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 CLEVELAND PL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626529",
            "telephone_number": "757-718-3675",
            "fax_number": "757-321-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "EULAMAE",
        "middle_name": "RUTLEDGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "60802006",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "60802008",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "60808011",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "60808011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.