Nine Palms 1 LP

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NINE PALMS 1 LP

Practice address

11815 Aspengraf Lane
Suite B
New Kent, VA 23124-2129

Phone

(804) 966-5996

Fax

(804) 966-7260

NPI assigned

Jun 9, 2008

Organization subpart

Yes

Parent organization

NINE PALMS 1 LPAs reported in NPPES

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

Authorized official

Name

William Borne

Title

Ceo

Phone

(225) 292-2031

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookside Home Health Doing business as

Tax ID family

Nine Palms 1 LP3 organizations share this tax ID, including this one

Part of

Nine Palms 1 LP

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Nine Palms 1, LLC

  • Home Health Agency
  • Williamsburg, VA
  • NPI 1518912377
  NPD tax ID
• Nine Palms 1, LLC

  • Home Health Agency
  • Gloucester, VA
  • NPI 1881846087
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Nine Palms 1, LLC

  • Home Health Agency
  • Williamsburg, VA
  • NPI 1518912377
  NPPES parent name

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1154580686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11815 ASPENGRAF LANE",
            "address_2": "SUITE B",
            "city": "NEW KENT",
            "state": "VA",
            "postal_code": "231242129",
            "telephone_number": "804-966-5996",
            "fax_number": "804-966-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINE PALMS 1 LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NINE PALMS 1 LP",
        "enumeration_date": "2008-06-09",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "BORNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-292-2031"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154580686",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookside Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jan Machelle McNeil-Glassford, MD
• Lauren Elizabeth Mears, LPC
• Patricia Marie Moran, MSW LCSW
• Colleen E Murphy-Moore, LPC
• New Kent County Board of Supervisors
• Ashley Likka Oliver, BSN, RN, CCRN, CEN
• Purpose Medical Outreach
• Tiara Shavonne Rainey, M.S.,LPC
• Patricia Neyland Reams, M.D.
• Tammy Williams Redman, PSYD

• Home Health Agency in New Kent, VA
• Providers in New Kent, 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 Jul 13, 2012; 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.