Active NPI
Dequinton Ramon Baker
- Home Health Agency
- Virginia BCH, VA
National Provider Identifier
1154085439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HCO-222661
- Practice address
- 4317 Bonney Rd Ste 2
Virginia BCH, VA 23452-1235 - Phone
- (757) 904-1543
- NPI assigned
- Oct 23, 2021
- Last updated
- Oct 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HCO-222661 | VA | Primary |
Addresses
Primary practice location
4317 Bonney Rd Ste 2
Virginia BCH, VA 23452-1235
Mailing address
4317 Bonney Rd Ste 2
Virginia BCH, VA 23452-1235
Phone (757) 904-1543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86-1313487 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HCO-222661 | VA | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cultural Home Health Care LLC | Home Health | Current | Accepting new patients |
Locations
4317 Bonney Rd
Ste 2
Virginia Beach, VA 23452
Phone (757) 904-1543
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Virginia Beach, VA
- NPI 1346908472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634947200000",
"number": "1154085439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4317 BONNEY RD STE 2",
"city": "VIRGINIA BCH",
"state": "VA",
"postal_code": "234521235",
"telephone_number": "757-904-1543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4317 BONNEY RD STE 2",
"city": "VIRGINIA BCH",
"state": "VA",
"postal_code": "234521235",
"telephone_number": "757-904-1543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "DEQUINTON",
"middle_name": "RAMON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-23",
"last_updated": "2021-10-23",
"certification_date": "2021-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "HCO-222661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "86-1313487",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia BCH, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.