Sandy Annette Vincent, LPN.CEO

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO16855 Issued in VA

Practice address

505 Washington St Ste 410
Portsmouth, VA 23704-3530

Phone

(757) 337-0766

Fax

(757) 966-2197

NPI assigned

Aug 3, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1083090955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WASHINGTON ST STE 410",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043530",
            "telephone_number": "757-337-0766",
            "fax_number": "757-966-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WASHINGTON ST STE 410",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043530",
            "telephone_number": "757-337-0766",
            "fax_number": "757-966-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "SANDY",
        "middle_name": "ANNETTE",
        "credential": "LPN.CEO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO16855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157253466",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160576655",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victory Services LLC
• Flor V Villania, RPH
• Catherine Villanueva
• Carey Vincent, D.O
• Jeremiah L Vincent, DO
• Shaniqua L Vines
• Yolanda Faye Vines, RN
• Keira Viney, MASTER OF SW
• Shelton August Viola, M.D.
• Virginia Chiropractic Associates

• Home Health Agency in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.