Organization Active NPI

Caresphere VA LLC

  • Home Health Agency
  • Virginia Beach, VA
National Provider Identifier
1194317073
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARESPHERE VA LLC
Practice address
445 Corporation LN
Ste 264
Virginia Beach, VA 23462
Phone
(610) 868-1801
Fax
(610) 954-9367
NPI assigned
Feb 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Yita Mandel
Title
President
Phone
(845) 641-6113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

445 Corporation LN
Ste 264
Virginia Beach, VA 23462

Mailing address

233 Lafayette Ave Ste 103
Suffern, NY 10901-4821

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1194317073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 LAFAYETTE AVE STE 103",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CORPORATION LN",
            "address_2": "STE 264",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "610-868-1801",
            "fax_number": "610-954-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESPHERE VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "YITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-641-6113"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.