Active NPI
Immanual Care
- Home Health Agency
- Chesapeake, VA
National Provider Identifier
1215234786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0087707607 | Medicaid | VA | |
| 0102181010 | Medicaid | VA | |
| 0087023492 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
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.