Organization Active NPI

Vets Aide

  • Home Health Aide
  • Petersburg, VA
National Provider Identifier
1174124663
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
VETS AIDE
Practice address
49 Walnut Blvd
Petersburg, VA 23805-2109
Phone
(804) 721-7457
NPI assigned
Nov 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Mr. Thomas Earl Harrell Jr.
Title
Director
Phone
(804) 721-7457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

49 Walnut Blvd
Petersburg, VA 23805-2109

Mailing address

3785 Impala Dr
Prince George, VA 23875-1492
Phone (804) 721-7457

Other names 1

  • VETS AIDE LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL vetsaideone.com

National Provider Directory

National Provider Directory

Locations

49 Walnut Blvd
Petersburg, VA 23805
Phone (804) 721-7457

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1174124663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 IMPALA DR",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751492",
            "telephone_number": "804-721-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WALNUT BLVD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052109",
            "telephone_number": "804-721-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETS AIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-721-7457",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vetsaideone.com",
            "affiliation": "N",
            "address_1": "49 Walnut Blvd",
            "city": "Petersburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238052109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "VETS AIDE LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.