Organization Active NPI

Simply Marvelous Home Healthcare LLC

  • Home Health Agency
  • Norfolk, VA
National Provider Identifier
1033727243
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SIMPLY MARVELOUS HOME HEALTHCARE LLC
Practice address
1035 W 25TH St Ste D2
Norfolk, VA 23517-1000
Phone
(757) 692-8849
NPI assigned
Jul 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Mr. Kanyia James Anderson
Title
Care Coordinator
Phone
(757) 692-8849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1035 W 25TH St Ste D2
Norfolk, VA 23517-1000

Mailing address

1035 W 25TH St Ste D2
Norfolk, VA 23517-1000
Phone (757) 692-8849

National Provider Directory

National Provider Directory

Locations

1035 W 25th St
Ste D2
Norfolk, VA 23517
Phone (757) 692-8849

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1033727243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W 25TH ST STE D2",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171000",
            "telephone_number": "757-692-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 W 25TH ST STE D2",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171000",
            "telephone_number": "757-692-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY MARVELOUS HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KANYIA",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CARE COORDINATOR",
        "authorized_official_telephone_number": "757-692-8849",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.