Organization Active NPI

Brilliant Support Services LLC

  • In Home Supportive Care Agency
  • Portsmouth, VA
National Provider Identifier
1285414169
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BRILLIANT SUPPORT SERVICES LLC
Practice address
500 Crawford St Ste 100
Portsmouth, VA 23704-3844
Phone
(757) 348-3168
NPI assigned
Sep 29, 2023
Last updated
Sep 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Jeanette Whitehead
Title
President
Phone
(757) 348-3168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

500 Crawford St Ste 100
Portsmouth, VA 23704-3844

Mailing address

500 Crawford St Ste 100
Portsmouth, VA 23704-3844
Phone (757) 348-3168

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1285414169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CRAWFORD ST STE 100",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043844",
            "telephone_number": "757-348-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CRAWFORD ST STE 100",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043844",
            "telephone_number": "757-348-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-348-3168"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.