Active NPI
Home Health Aide
- Custodial Care Facility
- Hampton, VA
National Provider Identifier
1154760916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- 1401009775
- Legal business name
- HOME HEALTH AIDE
- Practice address
- 625 Newport News Ave
Hampton, VA 23669-3930 - Phone
- (757) 722-4504
- NPI assigned
- Jun 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Melanie Denise Cobb, CNA
- Title
- Certified Nursing Assistant
- Phone
- (757) 722-4504
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 1401009775 | VA | Primary |
Addresses
Primary practice location
625 Newport News Ave
Hampton, VA 23669-3930
Mailing address
625 Newport News Ave
Hampton, VA 23669-3930
Phone (757) 722-4504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1401009775 | Other | VA | CERTIFIED NURSING ASSISTANT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371168000000",
"number": "1154760916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 NEWPORT NEWS AVE",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236693930",
"telephone_number": "757-722-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 NEWPORT NEWS AVE",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236693930",
"telephone_number": "757-722-4504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME HEALTH AIDE",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-14",
"last_updated": "2013-06-14",
"status": "A",
"authorized_official_last_name": "COBB",
"authorized_official_first_name": "MELANIE",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "CERTIFIED NURSING ASSISTANT",
"authorized_official_telephone_number": "757-722-4504",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CNA"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "VA",
"license": "1401009775",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED NURSING ASSISTANT",
"identifier": "1401009775",
"state": "VA"
}
],
"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 Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.