Individual provider Active NPI

Kakila Sherrie Taylor, SOLE PRIORITY

  • Home Health Agency
  • Martinsville, VA
National Provider Identifier
1457023608
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
11176207 Issued in VA
Practice address
860 Southland Dr
Martinsville, VA 24112-5921
Phone
(276) 403-2653
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 11176207 VA Primary

Addresses

Primary practice location

860 Southland Dr
Martinsville, VA 24112-5921

Mailing address

860 Southland Dr
Martinsville, VA 24112-5921
Phone (276) 403-2653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11176207VAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Living Home Current Accepting new patients
Abundant Living Home Care CurrentSince Oct 10, 2021 Accepting new patients
Angelic Companionship Services, LLC Current Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1457023608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 SOUTHLAND DR",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241125921",
            "telephone_number": "276-403-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 SOUTHLAND DR",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241125921",
            "telephone_number": "276-403-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KAKILA",
        "middle_name": "SHERRIE",
        "name_prefix": "Miss",
        "credential": "SOLE PRIORITY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "11176207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.