NPIMap

Organization Active NPI

Amethyst & Peridot Home Care

  • Home Health Agency
  • Suffolk, VA
National Provider Identifier
1487199519
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMETHYST & PERIDOT HOME CARE
Practice address
2002 Regency Dr
Suffolk, VA 23434-1800
Phone
(757) 839-0624
NPI assigned
Dec 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Paulette Wiggins
Title
Administrator/Owner
Phone
(757) 839-0624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2002 Regency Dr
Suffolk, VA 23434-1800

Mailing address

2002 Regency Dr
Suffolk, VA 23434-1800
Phone (757) 839-0624

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1487199519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 REGENCY DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234341800",
            "telephone_number": "757-839-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 REGENCY DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234341800",
            "telephone_number": "757-839-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST & PERIDOT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "757-839-0624"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 28, 2016; 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.