Active NPI
Caresphere VA LLC
- Home Health Agency
- Virginia Beach, VA
National Provider Identifier
1194317073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.