Organization Active NPI

Shades of Life LLC

  • In Home Supportive Care Agency
  • Virginia Beach, VA
National Provider Identifier
1316685175
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHADES OF LIFE LLC
Practice address
138 S Rosemont Rd Ste 210
Virginia Beach, VA 23452-4336
Phone
(757) 472-5434
Fax
(757) 210-9481
NPI assigned
May 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Dr. Dionne Chole Gibbs, PHD
Title
Ceo
Phone
(757) 472-5434

Specialties & licenses 1

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

Addresses

Primary practice location

138 S Rosemont Rd Ste 210
Virginia Beach, VA 23452-4336

Mailing address

138 S Rosemont Rd Ste 210
Virginia Beach, VA 23452-4336
Phone (757) 431-3000

National Provider Directory

National Provider Directory

Locations

138 S Rosemont Rd
Ste 210
Virginia Beach, VA 23452
Phone (757) 431-3000

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1316685175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 S ROSEMONT RD STE 210",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524336",
            "telephone_number": "757-431-3000",
            "fax_number": "757-210-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S ROSEMONT RD STE 210",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524336",
            "telephone_number": "757-472-5434",
            "fax_number": "757-210-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADES OF LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_middle_name": "CHOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-472-5434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 23, 2022; 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.