NPIMap

Organization Active NPI

C.L.C Supportive in- Home Care, LLC

  • In Home Supportive Care Agency
  • Chesapeake, VA
National Provider Identifier
1477247559
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
C.L.C SUPPORTIVE IN- HOME CARE, LLC
Practice address
1136 Sir Lancelot Dr
Chesapeake, VA 23323-2631
Phone
(757) 470-9695
NPI assigned
Jun 2, 2023
Last updated
Jun 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Ms. Marcella Irene AlstonNPI 1801481460
Title
Owner
Phone
(757) 470-9695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1136 Sir Lancelot Dr
Chesapeake, VA 23323-2631

Mailing address

1136
Sir Lancelot Dr.
Chesapeake, VA 23323-2631
Phone (757) 470-9695

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1477247559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136",
            "address_2": "SIR LANCELOT DR.",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232631",
            "telephone_number": "757-470-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 SIR LANCELOT DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232631",
            "telephone_number": "757-470-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.L.C SUPPORTIVE IN- HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-470-9695",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.