NPIMap

Organization Active NPI

Caregivers Corner LLC

  • In Home Supportive Care Agency
  • Hampton, VA
National Provider Identifier
1134540578
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
120310 Issued in VA
Legal business name
CAREGIVERS CORNER LLC
Practice address
11 Pine Lake CT
Hampton, VA 23669-1200
Phone
(757) 240-7928
Fax
(757) 257-0017
NPI assigned
Jan 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Shervonne Evette Banks, MSGNPI 1033398003
Title
Gerontologist/Administrator
Phone
(757) 240-7928

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
In Home Supportive Care Agency 253Z00000X 120310 VA Primary

Addresses

Primary practice location

11 Pine Lake CT
Hampton, VA 23669-1200

Mailing address

4410 Claiborne Street Ste 334
Hampton, VA 23666
Phone (757) 240-7928

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.

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1134540578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 CLAIBORNE STREET STE 334",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23666",
            "telephone_number": "757-240-7928",
            "fax_number": "757-257-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PINE LAKE CT",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691200",
            "telephone_number": "757-240-7928",
            "fax_number": "757-257-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREGIVERS CORNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "SHERVONNE",
        "authorized_official_middle_name": "EVETTE",
        "authorized_official_title_or_position": "GERONTOLOGIST/ADMINISTRATOR",
        "authorized_official_telephone_number": "757-240-7928",
        "authorized_official_credential": "MSG"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "120310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.