Organization Active NPI

Grander Homecare Services

  • Home Health Agency
  • Suffolk, VA
National Provider Identifier
1427889674
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRANDER HOMECARE SERVICES
Doing business as
315 S JUPITER ROAD
Practice address
101 Massey Dr
Suffolk, VA 23434-9348
Phone
(703) 814-0613
NPI assigned
Aug 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Vincentia A Marshall
Title
Administrator
Phone
(703) 814-0613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

101 Massey Dr
Suffolk, VA 23434-9348

Mailing address

101 Massey Dr
Suffolk, VA 23434-9348
Phone (703) 814-0613

Other names 1

  • 315 S JUPITER ROAD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1427889674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MASSEY DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234349348",
            "telephone_number": "703-814-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MASSEY DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234349348",
            "telephone_number": "703-814-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDER HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "VINCENTIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-814-0613"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "315 S JUPITER ROAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.