Active NPI
Shades of Life LLC
- In Home Supportive Care Agency
- Virginia Beach, VA
National Provider Identifier
1316685175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.