Organization Active NPI

Immanual Care

  • Home Health Agency
  • Chesapeake, VA
National Provider Identifier
1215234786
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IMMANUAL CARE
Practice address
870 Greenbrier Circle
Suite 210
Chesapeake, VA 23320-2641
Phone
(757) 547-8400
Fax
(757) 548-7766
NPI assigned
Feb 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Ms. Judith Turner, RN, BSN, MHA
Title
Director of Nursing
Phone
(757) 547-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

870 Greenbrier Circle
Suite 210
Chesapeake, VA 23320-2641

Mailing address

870 Greenbrier Circle
Suite 210
Chesapeake, VA 23320-2641
Phone (757) 547-8400

Other identifiers 3

IdentifierTypeStateIssuer
0087707607MedicaidVA
0102181010MedicaidVA
0087023492MedicaidVA

National Provider Directory

National Provider Directory

Locations

870 Greenbrier Cir
Ste 210
Chesapeake, VA 23320
Phone (757) 547-8400

825 Greenbrier Cir
Ste 205
Chesapeake, VA 23320

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1215234786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 GREENBRIER CIRCLE",
            "address_2": "SUITE 210",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202641",
            "telephone_number": "757-547-8400",
            "fax_number": "757-548-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 GREENBRIER CIRCLE",
            "address_2": "SUITE 210",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202641",
            "telephone_number": "757-547-8400",
            "fax_number": "757-548-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMANUAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "757-547-8400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN, MHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087707607",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102181010",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087023492",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.