Active NPI
Adult Healthcare Solutions, Inc
- Home Health Agency
- Petersburg, VA
National Provider Identifier
1518304682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HCO-13788
- Legal business name
- ADULT HEALTHCARE SOLUTIONS, INC
- Practice address
- 402 S Sycamore St
Suite a
Petersburg, VA 23803-5043 - Phone
- (804) 861-9472
- Fax
- (804) 733-8884
- NPI assigned
- May 30, 2013
- Last updated
- May 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Clifton Coger, CPA
- Title
- Chief Financial Officer
- Phone
- (804) 861-9472
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HCO-13788 | VA | Primary |
Addresses
Primary practice location
402 S Sycamore St
Suite a
Petersburg, VA 23803-5043
Mailing address
402 S Sycamore St
Suite a
Petersburg, VA 23803-5043
Phone (804) 861-9472
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0100377438 | Medicaid | VA | |
| 0103813710 | Medicaid | VA | |
| 0100111670 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
402 S Sycamore St
Ste A
Petersburg, VA 23803
Phone (804) 861-9472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369872000000",
"number": "1518304682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 S SYCAMORE ST",
"address_2": "SUITE A",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238035043",
"telephone_number": "804-861-9472",
"fax_number": "804-733-8884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 S SYCAMORE ST",
"address_2": "SUITE A",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238035043",
"telephone_number": "804-861-9472",
"fax_number": "804-733-8884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADULT HEALTHCARE SOLUTIONS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-30",
"last_updated": "2013-05-30",
"status": "A",
"authorized_official_last_name": "COGER",
"authorized_official_first_name": "CLIFTON",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "804-861-9472",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "HCO-13788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0100377438",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0103813710",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0100111670",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.