Active NPI
Carmen Maria Randolph, CNA
- Adult Companion
- Hampton, VA
National Provider Identifier
1033588934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 372600000X
- Practice address
- 407 W Pembroke Ave
N/a
Hampton, VA 23669-3432 - Phone
- (757) 763-7010
- Fax
- (757) 763-7010
- NPI assigned
- Sep 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 372600000X | VA | Primary |
Addresses
Primary practice location
407 W Pembroke Ave
N/a
Hampton, VA 23669-3432
Mailing address
407 W Pembroke Ave
N/a
Hampton, VA 23669-3432
Phone (757) 763-7010
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
| License | State | Type | Specialty |
|---|---|---|---|
| 372600000X | VA | MD | Adult Companion |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randolph Companion Care Services | Past | 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 and National Provider Directory roles.
-
- Home Health Agency
- Hampton, VA
- NPI 1336519305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1033588934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 W PEMBROKE AVE",
"address_2": "N/A",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236693432",
"telephone_number": "757-763-7010",
"fax_number": "757-763-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 W PEMBROKE AVE",
"address_2": "N/A",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236693432",
"telephone_number": "757-763-7010",
"fax_number": "757-763-7010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "CARMEN",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-21",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "VA",
"license": "372600000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.