Eastern Shore Area Agency on Aging/Community Action Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-15709 Issued in VA

Legal business name

EASTERN SHORE AREA AGENCY ON AGING/COMMUNITY ACTION AGENCY

Practice address

5432 Bayside Rd
Exmore, VA 23350-3936

Phone

(757) 442-9652

Fax

(757) 442-9303

NPI assigned

Nov 17, 2014

Last updated

Nov 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Diane Musso

Title

Ceo

Phone

(757) 442-9652

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1356747588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5432 BAYSIDE RD",
            "city": "EXMORE",
            "state": "VA",
            "postal_code": "233503936",
            "telephone_number": "757-442-9652",
            "fax_number": "757-442-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5432 BAYSIDE RD",
            "city": "EXMORE",
            "state": "VA",
            "postal_code": "233503936",
            "telephone_number": "757-442-9652",
            "fax_number": "757-442-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE AREA AGENCY ON AGING/COMMUNITY ACTION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "MUSSO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-442-9652",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-15709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167908513",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087005085",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163372003",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anastasia R. Cannon, ABOC
• Catherine Love Turlington OD PLLC
• Catherine Love Turlington OD PLLC
• Rachel Craven
• Joe Richard Drake, D.D.S.
• Eastern Shore Rural Health System Incorporated (Occohannock Dental)
• John A Foley Jr., M.D.
• John a Foley, Jr., M.D., P.C. (Eastern Shore Eye Center)
• Sarah Anne Lewis, LPC
• Little Hands Little Feet Pediatric Therapy, PLLC

• Home Health Agency in Exmore, VA
• Providers in Exmore, 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 Nov 17, 2014; 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.