Carien N Haley, CEO

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-12774 Issued in VA

Practice address

424 Market St
Suite 101
Suffolk, VA 23434-5200

Phone

(757) 934-1400

Fax

(757) 934-1404

NPI assigned

Jan 9, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1306116215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 MARKET ST",
            "address_2": "SUITE 101",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345200",
            "telephone_number": "757-934-1400",
            "fax_number": "757-934-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 MARKET ST",
            "address_2": "SUITE 101",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345200",
            "telephone_number": "757-934-1400",
            "fax_number": "757-934-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "CARIEN",
        "middle_name": "N",
        "name_prefix": "Miss",
        "credential": "CEO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-12774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164900836",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0155894261",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0155893966",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Bailey Gwaltney, DDS
• River Sky Haas
• Anke Hacker, MD
• Stephanie Michelle Hadley
• Hair Icon Prothisis Supply
• Dena R Hall, MD
• Latonya Hall
• Brandon Scott Hamlin, LPC
• Rose Mary Hamlin
• Kathleen Hollis Hammonds, MD

• Home Health Agency in Suffolk, VA
• Providers in Suffolk, 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 Jan 9, 2012; 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.