Banner of Support LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BANNER OF SUPPORT LLC

Practice address

3411 Sunnyside Dr
Hampton, VA 23666-3706

Phone

(757) 251-0655

NPI assigned

Apr 17, 2024

Organization subpart

No

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

• Gail Jeffrey, AAS IN HUMAN SERV

  • Case Manager/Care Coordinator
  • Hampton, VA
  • NPI 1013441427
  NPD Authorized official

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

Authorized official

Name

Gail Marie JeffreyNPI 1013441427

Title

Owner

Phone

(757) 251-0655

Specialties & licenses 2

Addresses

Other names 1

• Banner of Support Other name

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1013761725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5435",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236050435",
            "telephone_number": "757-251-0655",
            "fax_number": "757-325-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 SUNNYSIDE DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663706",
            "telephone_number": "757-251-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER OF SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "JEFFREY",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-251-0655"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Banner of Support",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Banner of Support",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tanisha Banks-Cooper, LPN
• Cluverius Banks, CCC/SLP
• Kevin Antwan Banks Jr.
• Shervonne Banks, LCSW, MSG
• Jocelyn Alexandria Banner - Scott
• Rosalyn Barberan
• Gayle Barbuto, PA
• Sarah B Bargeron, DPT
• Darlene Lindell Barnes
• Mario Deshaun Barnes, MSW

• All providers in Hampton, VA
• Case Management Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.