Ebony Brooke Nickens

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HCO-0001769 Issued in VA

Practice address

6834 Colemans Crossing Ave Ste E
Hayes, VA 23072-3337

Phone

(804) 677-0223

Fax

(804) 210-1550

NPI assigned

Nov 17, 2025

Last updated

Nov 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Care at Home, LLC

  • Home Health Agency
  • Hayes, VA
  • NPI 1326558727
  NPD Authorized official
• Legacy Counseling Services LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Newport News, VA
  • NPI 1427666106
  NPD Authorized official

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1417817974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 WINTHROPE DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029638",
            "telephone_number": "804-677-0223",
            "fax_number": "804-210-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6834 COLEMANS CROSSING AVE STE E",
            "city": "HAYES",
            "state": "VA",
            "postal_code": "230723337",
            "telephone_number": "804-677-0223",
            "fax_number": "804-210-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKENS",
        "first_name": "EBONY",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "VA",
            "license": "HCO-0001769",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "HCO-0001769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gemma C. Meadows, O.D.
• Mark K. Meadows, O.D.
• David Alan Morris, DDS
• Brian Lee Moylan, MD
• David Emory Newton, M.D,
• Alina Nitchie, BA, RBT, QMHP-T
• Nicole Danielle Olivarez, LMT
• Paradox Health LLC
• Peter E. Wilcox, OD, PLC (Wilcox Eye Center)
• Prime Medical Transportation LLC

• Home Health Aide in Hayes, VA
• Providers in Hayes, VA by specialty
• Home Health Aide in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.