Active NPI
Evelyn Beamon
- Home Health Aide
- Suffolk, VA
National Provider Identifier
1083078133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 112 W Washington St
Suite 302
Suffolk, VA 23434-5246 - Phone
- (757) 934-6000
- Fax
- (757) 934-6001
- NPI assigned
- Apr 5, 2016
- Last updated
- Apr 5, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | Primary |
Addresses
Primary practice location
112 W Washington St
Suite 302
Suffolk, VA 23434-5246
Mailing address
112 W Washington St
Suite 302
Suffolk, VA 23434-5246
Phone (757) 934-6000
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweet Grace Home Health Agency, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Suffolk, VA
- NPI 1851744049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1083078133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 W WASHINGTON ST",
"address_2": "SUITE 302",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234345246",
"telephone_number": "757-934-6000",
"fax_number": "757-934-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 W WASHINGTON ST",
"address_2": "SUITE 302",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234345246",
"telephone_number": "757-934-6000",
"fax_number": "757-934-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAMON",
"first_name": "EVELYN",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-05",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
- Bayview Medical Center, Inc (LMC Ambulatory Surgery Center)
- Bayview Physician Services, PC (LMC Laboratory)
- Bayview Physician Services, PC (LMC Radiology)
- Be & MH, LLC
- Evangela Beamon
- Shefica Beard
- Bearing Blessings Home Health Care LLC
- Beautiful Minds Mental Health Services LLC
- Curtis Becker, PT
- Damara Beckett, LPC, CSAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.