Organization Active NPI

Indepth Healthcare Supports, Inc.

  • In Home Supportive Care Agency
  • Hampton, VA
National Provider Identifier
1144945205
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INDEPTH HEALTHCARE SUPPORTS, INC.
Practice address
4410 Claiborne SQ E Ste 311
Hampton, VA 23666-2074
Phone
(202) 373-8278
NPI assigned
Oct 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Ms. Keisha Garrett
Title
Ceo
Phone
(202) 373-8278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4410 Claiborne SQ E Ste 311
Hampton, VA 23666-2074

Mailing address

4410 Claiborne SQ E Ste 311
Hampton, VA 23666-2074
Phone (202) 373-8278

National Provider Directory

National Provider Directory

Locations

4410 Claiborne Sq E
Ste 311
Hampton, VA 23666
Phone (202) 373-8278

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1144945205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 CLAIBORNE SQ E STE 311",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662074",
            "telephone_number": "202-373-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 CLAIBORNE SQ E STE 311",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662074",
            "telephone_number": "202-373-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPTH HEALTHCARE SUPPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-373-8278",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 Oct 11, 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.