Agewell Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AGEWELL HOME HEALTH CARE LLC

Practice address

355 Crawford St Ste 501
Portsmouth, VA 23704-2822

Phone

(757) 749-0460

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Caromekia Parker

Title

Ceo

Phone

(757) 956-5066

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1376014605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 AIRPORT RD",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CRAWFORD ST STE 501",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042822",
            "telephone_number": "757-749-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGEWELL HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CAROMEKIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-956-5066"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.