Healing Abode Healthcare Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALING ABODE HEALTHCARE AGENCY, LLC

Practice address

464 Investors PL Ste 204J
Virginia Beach, VA 23452-1167

Phone

(317) 941-1460

NPI assigned

Aug 27, 2021

Organization subpart

No

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

Authorized official

Name

Shawnte Kenyell Ricks, RN

Title

Owner/RN

Phone

(757) 937-9311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1376210252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 INVESTORS PL STE 204J",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521167",
            "telephone_number": "317-941-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 INVESTORS PL STE 204J",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521167",
            "telephone_number": "317-941-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ABODE HEALTHCARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "RICKS",
        "authorized_official_first_name": "SHAWNTE",
        "authorized_official_middle_name": "KENYELL",
        "authorized_official_title_or_position": "OWNER/RN",
        "authorized_official_telephone_number": "757-937-9311",
        "authorized_official_credential": "RN"
    },
    "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 Apr 21, 2023; 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.