Active NPI
Vets Aide
- Home Health Aide
- Petersburg, VA
National Provider Identifier
1174124663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | vetsaideone.com |
National Provider Directory
National Provider DirectoryLocations
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.