McDole Personal Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MCDOLE PERSONAL CARE LLC

Practice address

4500 Colley Ave Ste J
Norfolk, VA 23508-2031

Phone

(757) 230-0341

Fax

(757) 257-0321

NPI assigned

Aug 7, 2018

Organization subpart

No

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

Authorized official

Name

Catrina Banks

Title

Administrator

Phone

(757) 230-0341

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1396224846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 COLLEY AVE STE J",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082031",
            "telephone_number": "757-230-0341",
            "fax_number": "757-257-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 COLLEY AVE STE J",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082031",
            "telephone_number": "757-230-0341",
            "fax_number": "757-257-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDOLE PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "CATRINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-230-0341"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Lynn McCurdy, SA
• Casey McDaniel, LPC, ATR-P
• William W McDaniel, MD
• Christine McDermott
• Justin Connor McDermott, PA-S
• Christin McDonald-Fix, PH.D, BCBA, LBA
• Leah Kiwon McDonald
• Morgan McDonald, LCSW
• Niketa Baker McDonald, NURSE PRACTITIONER
• Petra McDonald, LCSW

• Home Health Agency in Norfolk, VA
• Providers in Norfolk, 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 Aug 7, 2018; 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.