Destiny Shanele Carter, OWNER
Individual provider Active NPI Home Health Aide · Gretna, VA
NPI 1609593748 · NPPES record last updated Oct 19, 2022
Key facts
- NPI
- 1609593748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- 253150 (VA)
- Practice address
- 140 Zion Rd
Gretna, VA 24557-4632 - Phone
- (434) 630-8629
- NPI assigned
- Oct 19, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253150 | VA | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karing Hearts Home Care LLC | Home Health Aide | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 253150 | VA | Yes |
Addresses
Primary practice location
140 Zion Rd
Gretna, VA 24557-4632
Mailing address
140 Zion Rd
Gretna, VA 24557-4632
Phone (434) 630-8629
Other providers in Gretna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.