Organization Active NPI

Hospice and Palliative Care of Tidewater

  • Community Based Hospice Care Agency
  • Virginia Beach, VA
National Provider Identifier
1376815746
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE AND PALLIATIVE CARE OF TIDEWATER
Practice address
5000 Corporate Woods Dr Ste 500
Virginia Beach, VA 23462-4429
Phone
(757) 321-2242
Fax
(757) 321-2236
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Mr. David Abraham
Title
Ceo
Phone
(757) 420-2512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

5000 Corporate Woods Dr Ste 500
Virginia Beach, VA 23462-4429

Mailing address

5000 Corporate Woods Dr Ste 500
Virginia Beach, VA 23462-4429
Phone (757) 321-2242

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

535 Independence Pkwy
Chesapeake, VA 23320
Phone (757) 553-3139

6477 College Park Sq
Ste 312
Virginia Beach, VA 23464
Phone (757) 321-2242

260 Grayson Rd
#126
Virginia Beach, VA 23462
Phone (757) 321-2242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1376815746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CORPORATE WOODS DR STE 500",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624429",
            "telephone_number": "757-321-2242",
            "fax_number": "757-321-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CORPORATE WOODS DR STE 500",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624429",
            "telephone_number": "757-321-2242",
            "fax_number": "757-321-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE AND PALLIATIVE CARE OF TIDEWATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-420-2512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "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 Jun 15, 2021; 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.