Active NPI
C & R Divine Hands of Care
- Home Health Agency
- Virginia Beach, VA
National Provider Identifier
1578935607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0443787070
- Legal business name
- C & R DIVINE HANDS OF CARE
- Practice address
- 3741 Historyland Dr
Virginia Beach, VA 23452-3307 - Phone
- (757) 201-0229
- Fax
- (757) 648-1207
- NPI assigned
- Oct 28, 2015
- 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
- Mrs. Carolyn D Jordan
- Title
- Service Facilitator
- Phone
- (757) 201-0229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0443787070 | VA | Primary |
Addresses
Primary practice location
3741 Historyland Dr
Virginia Beach, VA 23452-3307
Mailing address
3741 Historyland Dr
Virginia Beach, VA 23452-3307
Phone (757) 201-0229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0178313646 | Other | VA | API |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445990400000",
"number": "1578935607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3741 HISTORYLAND DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234523307",
"telephone_number": "757-201-0229",
"fax_number": "757-648-1207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3741 HISTORYLAND DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234523307",
"telephone_number": "757-201-0229",
"fax_number": "757-648-1207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C & R DIVINE HANDS OF CARE",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-28",
"last_updated": "2015-10-28",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SERVICE FACILITATOR",
"authorized_official_telephone_number": "757-201-0229",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "0443787070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "API",
"identifier": "0178313646",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.