Elkhart Assisted Living LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ELKHART ASSISTED LIVING LLC

Practice address

2900 Chestnut St
Portsmouth, VA 23704-7058

Phone

(757) 739-5020

NPI assigned

Nov 6, 2018

Organization subpart

No

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

Authorized official

Name

Valencia Kelly

Title

Owner/President

Phone

(757) 739-5020

Specialties & licenses 1

Addresses

Other names 1

• Elkhart Home Health Care Doing business as

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1013485234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CHESTNUT ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237047058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CHESTNUT ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237047058",
            "telephone_number": "757-739-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHART ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "757-739-5020"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elkhart Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tom Edward Eldridge, D.D.S
• Alexandra Gabriela Elefteratos
• Elevated Oasis Care LLC
• Elite Wellness Care LLC
• Elizabeths Beloved Homecare LLC
• Abigail Josephine Elkins, PA-C
• Kori A Elkins, M.D.
• Christopher Ingard Ellingson, M.D.
• Brionna Unique Elliott-Moore
• Linda Diane Elliott

• In Home Supportive Care Agency in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.