Organization Active NPI

Shipe Rehab Services LLC

Doing business as Comfort Keepers 923

  • In Home Supportive Care Agency
  • Virginia Beach, VA
National Provider Identifier
1104256585
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HCO-141022 Issued in VA
Legal business name
SHIPE REHAB SERVICES LLC
Doing business as
Comfort Keepers 923
Practice address
1776 Princess Anne Rd
Suite D
Virginia Beach, VA 23456-3857
Phone
(757) 689-8189
Fax
(757) 689-8149
NPI assigned
Nov 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

Name
Krista Ann Shipe, LPN
Title
Owner
Phone
(757) 689-8189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HCO-141022 VA Primary

Addresses

Primary practice location

1776 Princess Anne Rd
Suite D
Virginia Beach, VA 23456-3857

Mailing address

1776 Princess Anne Rd
Suite D
Virginia Beach, VA 23456-3857
Phone (757) 689-8189

Other names 1

  • Comfort Keepers 923 Doing business as

National Provider Directory

National Provider Directory

Locations

1776 Princess Anne Rd
Ste D
Virginia Beach, VA 23456
Phone (757) 689-8189

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1104256585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 PRINCESS ANNE RD",
            "address_2": "SUITE D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563857",
            "telephone_number": "757-689-8189",
            "fax_number": "757-689-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 PRINCESS ANNE RD",
            "address_2": "SUITE D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563857",
            "telephone_number": "757-689-8189",
            "fax_number": "757-689-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPE REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "SHIPE",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-689-8189",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO-141022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers 923",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.