Ezra Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EZRA HOME CARE SERVICES LLC

Practice address

1113 77TH St
Newport News, VA 23605-1707

Phone

(202) 747-8464

NPI assigned

Mar 3, 2025

Last updated

Mar 3, 2025By 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

Derek Wells

Title

Owner/Ceo

Phone

(202) 747-8464

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1396543898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 77TH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236051707",
            "telephone_number": "202-747-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 77TH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236051707",
            "telephone_number": "202-747-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZRA HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "202-747-8464"
    },
    "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 Mar 3, 2025; 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.