NPIMap

Organization Active NPI

Ruth'S and Hattie'S Granddaughter, LLC

  • Home Health Agency
  • Winchester, VA
National Provider Identifier
1457865628
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RUTH'S AND HATTIE'S GRANDDAUGHTER, LLC
Practice address
3042 Valley Ave Ste 102
Winchester, VA 22601-2669
Phone
(540) 773-2211
Fax
(540) 773-2866
NPI assigned
Nov 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Mrs. Jennifer Sours Cubbage, RN
Title
RN/President
Phone
(540) 773-2211

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Case Management Agency 251B00000X
Home Health Agency 251E00000X Primary
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Private Vehicle 347C00000X
Respite Care 385H00000X

Addresses

Primary practice location

3042 Valley Ave Ste 102
Winchester, VA 22601-2669

Mailing address

3042 Valley Ave Ste 102
Winchester, VA 22601-2669
Phone (540) 773-2211

Other identifiers 1

IdentifierTypeStateIssuer
S698774-9OtherVASTATE CORPORATION COMMISSION

Other names 1

  • Comfort Keepers #1027 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": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1457865628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 VALLEY AVE STE 102",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012669",
            "telephone_number": "540-773-2211",
            "fax_number": "540-773-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 VALLEY AVE STE 102",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012669",
            "telephone_number": "540-773-2211",
            "fax_number": "540-773-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH'S AND HATTIE'S GRANDDAUGHTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CUBBAGE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SOURS",
        "authorized_official_title_or_position": "RN/PRESIDENT",
        "authorized_official_telephone_number": "540-773-2211",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CORPORATION COMMISSION",
            "identifier": "S698774-9",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers #1027",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.