Organization Active NPI

Ach Home Services LLC

  • Home Health Agency
  • Suffolk, VA
National Provider Identifier
1093579807
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ACH HOME SERVICES LLC
Practice address
418 Jackson St
Suffolk, VA 23434-5315
Phone
(948) 210-4199
Fax
(757) 809-1822
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Latrese Lakain RiddickNPI 1730660952
Title
Administrator
Phone
(948) 210-4199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

418 Jackson St
Suffolk, VA 23434-5315

Mailing address

418 Jackson St
Suffolk, VA 23434-5315
Phone (948) 210-4199

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1093579807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 JACKSON ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345315",
            "telephone_number": "948-210-4199",
            "fax_number": "757-809-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 JACKSON ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345315",
            "telephone_number": "948-210-4199",
            "fax_number": "757-809-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACH HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "RIDDICK",
        "authorized_official_first_name": "LATRESE",
        "authorized_official_middle_name": "LAKAIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "948-210-4199"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.