Independent Senior Home Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2008-237117-R Issued in VA

Legal business name

INDEPENDENT SENIOR HOME SERVICES

Practice address

4599 Quaker Dr
Suffolk, VA 23437-9026

Phone

(757) 478-3884

NPI assigned

Mar 7, 2008

Last updated

Mar 7, 2008By 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

Ms. Stacey N Phillips, CERTIFIED NURSE AIDE

Title

Owner

Phone

(757) 478-3884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1396915195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4599 QUAKER DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234379026",
            "telephone_number": "757-478-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4599 QUAKER DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234379026",
            "telephone_number": "757-478-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT SENIOR HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-478-3884",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CERTIFIED NURSE AIDE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "2008-237117-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Suffolk, VA
• Providers in Suffolk, 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 Mar 7, 2008; 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.