Active NPI
Home-Based Care Partners of VA Inc
- Community Based Hospice Care Agency
- Carrollton, VA
National Provider Identifier
1043977028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HOME-BASED CARE PARTNERS OF VA INC
- Practice address
- 15221 Carrollton Blvd Ste 206
Carrollton, VA 23314-2325 - Phone
- (804) 761-0611
- NPI assigned
- Nov 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelby Luanne Davis
- Title
- Owner/President
- Phone
- (804) 761-0611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
15221 Carrollton Blvd Ste 206
Carrollton, VA 23314-2325
Mailing address
15221 Carrollton Blvd Ste 206
Carrollton, VA 23314-2325
Phone (804) 761-0611
Other names 1
- Two Rivers Hospice
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2265665 | Home Based Care Partners of VA, Inc | Certificate of waiver | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
15221 Carrollton Blvd
Ste 206
Carrollton, VA 23314
Phone (757) 745-7292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637712000000",
"number": "1043977028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15221 CARROLLTON BLVD STE 206",
"city": "CARROLLTON",
"state": "VA",
"postal_code": "233142325",
"telephone_number": "804-761-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15221 CARROLLTON BLVD STE 206",
"city": "CARROLLTON",
"state": "VA",
"postal_code": "233142325",
"telephone_number": "804-761-0611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME-BASED CARE PARTNERS OF VA INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-24",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "SHELBY",
"authorized_official_middle_name": "LUANNE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "804-761-0611"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Two Rivers Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carrollton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.