1St Home Care of VA., Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

1ST HOME CARE OF VA., INC.

Practice address

600 W 25TH St Ste 6
Norfolk, VA 23517-1212

Phone

(757) 937-5991

Fax

(757) 937-9118

NPI assigned

Dec 12, 2022

Last updated

Dec 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shaquanna Timisha Godwin

Title

Administrator

Phone

(757) 937-5991

Specialties & licenses 1

Addresses

Locations

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.

• Kim Rena Godwin

  • Home Health Agency
  • Norfolk, VA
  • NPI 1851045611
  NPD

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1104537042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 25TH ST STE 6",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171212",
            "telephone_number": "757-937-5991",
            "fax_number": "757-937-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 25TH ST STE 6",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171212",
            "telephone_number": "757-937-5991",
            "fax_number": "757-937-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST HOME CARE OF VA., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "SHAQUANNA",
        "authorized_official_middle_name": "TIMISHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-937-5991"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Norfolk, VA
• Providers in Norfolk, 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 Dec 12, 2022; 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.