Active NPI
Blue Horizons Group Health Services LLC
- Clinical Medical Laboratory
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- BLUE HORIZONS GROUP HEALTH SERVICES LLC
- Practice address
- 4317 Bonney Rd # 4
Virginia Beach, VA 23452-1235 - Phone
- (757) 920-9120
- NPI assigned
- Oct 15, 2021
- 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
- Janae Graham Bright, LPN
- Title
- Ceo
- Phone
- (757) 920-9120
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
4317 Bonney Rd # 4
Virginia Beach, VA 23452-1235
Mailing address
4317 Bonney Rd # 4
Virginia Beach, VA 23452-1235
Phone (757) 920-9120
Other practice location 1
1718 N King St # 203
Hampton, VA 23669-1910
Phone (757) 920-9120
Other names 1
- Blue Horizons Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211118003224 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2567851173 | Practice locations: Virginia Beach, VA |
National Provider Directory
National Provider DirectoryLocations
1718 N King St
#203
Hampton, VA 23669
Phone (757) 920-9120
4317 Bonney Rd
Ste 4
Virginia Beach, VA 23452
Phone (757) 920-9120
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Practical Nurse
- Virginia Beach, VA
- NPI 1831674415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634688000000",
"number": "1346903549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4317 BONNEY RD # 4",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521235",
"telephone_number": "757-920-9120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4317 BONNEY RD # 4",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521235",
"telephone_number": "757-920-9120"
}
],
"practiceLocations": [
{
"address_1": "1718 N King St # 203",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "VA",
"postal_code": "236691910",
"country_code": "US",
"telephone_number": "757-920-9120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BLUE HORIZONS GROUP HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-15",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "GRAHAM BRIGHT",
"authorized_official_first_name": "JANAE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-920-9120",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Blue Horizons Group",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.