Active NPI
Tidewater Home Health Care
- Home Health Agency
- Virginia Beach, VA
National Provider Identifier
1184874166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TIDEWATER HOME HEALTH CARE
- Practice address
- 4445 Corporation LN
Suite 270
Virginia Beach, VA 23462-3262 - Phone
- (757) 213-6910
- Fax
- (757) 213-6801
- NPI assigned
- Sep 25, 2008
- 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
- Glenn M Gainey
- Title
- President
- Phone
- (757) 213-6910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4445 Corporation LN
Suite 270
Virginia Beach, VA 23462-3262
Mailing address
4445 Corporation LN
Suite 270
Virginia Beach, VA 23462-3262
Phone (757) 213-6910
National Provider Directory
National Provider DirectoryLocations
4445 Corporation Ln
Ste 270
Virginia Beach, VA 23462
Phone (757) 213-6910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222300800000",
"number": "1184874166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4445 CORPORATION LN",
"address_2": "SUITE 270",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234623262",
"telephone_number": "757-213-6910",
"fax_number": "757-213-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 CORPORATION LN",
"address_2": "SUITE 270",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234623262",
"telephone_number": "757-213-6910",
"fax_number": "757-213-6801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIDEWATER HOME HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-25",
"last_updated": "2008-09-25",
"status": "A",
"authorized_official_last_name": "GAINEY",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-213-6910"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
- Tidewater Behavioral Services, LLC
- Tidewater Dental Studio PLLC
- Tidewater Family Practice, P.C.
- Tidewater Foot & Ankle Center, PC
- Tidewater Hearing Center
- Tidewater Homespec, LLC
- Tidewater Integrated Medical Services, PLLC
- Tidewater Integrative Health PC
- Tidewater Kidney Specialists, Inc.
- Tidewater Lactation Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.