Organization Active NPI

Jenesys Home Health LLC

  • Home Health Agency
  • Chesapeake, VA
National Provider Identifier
1245574284
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JENESYS HOME HEALTH LLC
Practice address
676 Battlefield Blvd N Ste a
Chesapeake, VA 23320-0306
Phone
(757) 420-0566
Fax
(757) 420-0599
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Ms. Shante Hall
Title
Administrator
Phone
(757) 420-0566

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X HCO-14896 VA
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X HCO-14896 VA
In Home Supportive Care Agency 253Z00000X HCO-14896 VA
Skilled Nursing Facility 314000000X
Respite Care 385H00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

676 Battlefield Blvd N Ste a
Chesapeake, VA 23320-0306

Mailing address

676 Battlefield Blvd N Ste a
Chesapeake, VA 23320-0306
Phone (757) 420-0566

Other practice location 1

1403 Greenbrier Pkwy
Suite 100
Chesapeake, VA 23320-0614
Phone (757) 420-0566

Other identifiers 1

IdentifierTypeStateIssuer
1245574284MedicaidVA

Other names 2

  • Jenesys Home Health Doing business as
  • Jenesys Home Health Care Services I Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Jenesys Home Care Atlanta3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1403 Greenbrier Pkwy
Ste 100
Chesapeake, VA 23320
Phone (757) 420-0566

676 Battlefield Blvd N
Ste A
Chesapeake, VA 23320
Phone (757) 420-0566

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1245574284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 BATTLEFIELD BLVD N STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200306",
            "telephone_number": "757-420-0566",
            "fax_number": "757-420-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 BATTLEFIELD BLVD N STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200306",
            "telephone_number": "757-420-0566",
            "fax_number": "757-420-0599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1403 Greenbrier Pkwy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233200614",
            "country_code": "US",
            "telephone_number": "757-420-0566",
            "fax_number": "757-420-0599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JENESYS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SHANTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-420-0566",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "VA",
            "license": "HCO-14896",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "VA",
            "license": "HCO-14896",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO-14896",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245574284",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenesys Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jenesys Home Health Care Services I",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 21, 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.