Organization Active NPI

Mended Pieces Home Healthcare LLC

  • Home Health Agency
  • Suffolk, VA
National Provider Identifier
1609556687
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MENDED PIECES HOME HEALTHCARE LLC
Practice address
1313 Baltic St
Suffolk, VA 23434-4140
Phone
(757) 809-3155
NPI assigned
Jul 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Demetria Yvette Williams
Title
Owner
Phone
(757) 809-3155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1313 Baltic St
Suffolk, VA 23434-4140

Mailing address

1313 Baltic St
Suffolk, VA 23434-4140
Phone (757) 809-3155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1609556687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 BALTIC ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344140",
            "telephone_number": "757-809-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 BALTIC ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344140",
            "telephone_number": "757-809-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED PIECES HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEMETRIA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-809-3155"
    },
    "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 Jul 24, 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.