Jarvis Earl Worelds, PRESTIGE HOME HEALTH

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1508316597 Issued in VA

Practice address

958 13TH Street
Newport. News, VA 23607-2360

Phone

(757) 952-9564

NPI assigned

Jul 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1205312915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9",
            "address_2": "2514 MARSHALL AVENUE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23607",
            "telephone_number": "757-952-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 13TH STREET",
            "city": "NEWPORT. NEWS",
            "state": "VA",
            "postal_code": "236072360",
            "telephone_number": "757-952-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORELDS",
        "first_name": "JARVIS",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "PRESTIGE HOME HEALTH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "VA",
            "license": "1508316597",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "1508316597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Powell Woodbury, ED. D,LPC
• Richard Andrew Woodfin III, RPH
• Ashley Woods
• Sally Minnich Wooldridge, OT
• Heidi Marie Wootres, LPC
• Kalain Workman, DO
• Wound Pros
• Violet A Wray, DPT
• Jonina Lynn Wrencher, MMP
• Wright Circle of Care

• Home Health Agency in Newport. News, VA
• Providers in Newport. News, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.