Organization Active NPI

C & R Divine Hands of Care

  • Home Health Agency
  • Virginia Beach, VA
National Provider Identifier
1578935607
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0443787070 Issued in VA
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

Updated by the provider on Oct 28, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0178313646OtherVAAPI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.