Active NPI
Nikita S Banks, CEO
- Personal Care Attendant
- Virginia Beach, VA
National Provider Identifier
1306451448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 4665 Haygood Rd Ste 405B
Virginia Beach, VA 23455-5443 - Phone
- (757) 375-1483
- NPI assigned
- Sep 15, 2020
- Last updated
- May 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | VA | ||
| Personal Care Attendant | 3747P1801X | NU | Primary | |
| Respite Care | 385H00000X | NU |
Addresses
Primary practice location
4665 Haygood Rd Ste 405B
Virginia Beach, VA 23455-5443
Mailing address
4667 Haygood Rd Ste 503E
Virginia Beach, VA 23455-5452
Phone (757) 770-8642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 852973244 | Medicaid | VA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | shelteringarmsresidential@gmail.com | Direct | |
| Other URL | shelteringarmsresidential@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheltering Hearts Transportation LLC | Current | Accepting new patients | |
| Sheltering Arms Residential LLC | Personal Care Attendant | Current | Accepting new patients |
| Endless Love Supportive Services LLC | Current | Accepting new patients |
Locations
4665 Haygood Rd
Ste 405B
Virginia Beach, VA 23455
Phone (757) 375-1483
4667 Haygood Rd
Ste 503E
Virginia Beach, VA 23455
Phone (757) 472-2055
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmentally Disabled Services Day Training Agency
- Virginia Beach, VA
- NPI 1619839479
-
- Personal Care Attendant
- Virginia Beach, VA
- NPI 1619543626
-
- Non-emergency Medical Transport (VAN)
- Virginia Beach, VA
- NPI 1184322901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1306451448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4667 HAYGOOD RD STE 503E",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234555452",
"telephone_number": "757-770-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4665 HAYGOOD RD STE 405B",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234555443",
"telephone_number": "757-375-1483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "NIKITA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "CEO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "852973244",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "shelteringarmsresidential@gmail.com",
"affiliation": "N",
"endpointDescription": "office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4667 Haygood Rd Ste 503E",
"city": "Virginia Beach",
"state": "VA",
"country_code": "US",
"postal_code": "234555452",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "shelteringarmsresidential@gmail.com",
"affiliation": "N",
"endpointDescription": "office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4665 Haygood Rd Ste 405B",
"city": "Virginia Beach",
"state": "VA",
"country_code": "US",
"postal_code": "234555443",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.