Cicely Latoya Jenkins, CEO

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

1401203256 Issued in VA

Practice address

464 Investors PL Ste 206E
Virginia Beach, VA 23452-1384

Phone

(757) 384-3232

Fax

(757) 384-3223

NPI assigned

Aug 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cicely Latoya Harold Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Star Choice Homecare LLC

  • Home Health Agency
  • VA Beach, VA
  • NPI 1801508171
  NPD Authorized official
• Star Choice Medical Transport

  • Non-emergency Medical Transport (VAN)
  • VA Beach, VA
  • NPI 1255225629
  NPD Authorized official

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1639806904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736 ELDON CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627228",
            "telephone_number": "757-559-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 INVESTORS PL STE 206E",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521384",
            "telephone_number": "757-384-3232",
            "fax_number": "757-384-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CICELY",
        "middle_name": "LATOYA",
        "name_prefix": "Mrs.",
        "credential": "CEO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "VA",
            "license": "1401203256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CICELY",
            "last_name": "HAROLD",
            "middle_name": "LATOYA",
            "credential": "CNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jen & C Home Care,LLC
• Jencare Neighborhood Medical Center Virginia Beach LLC
• Maurianna Jendersee
• Arthur Rex Jenkins, DDS
• Bryant Anthony Jenkins, MSW
• Desiree Jenkins, BSW
• Donald Denison Jenkins, M.D.
• Nathaniel Keith Jenkins
• Nicole Jenkins
• Shinita Jenkins, LCSW

• Nurse's Aide in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Nurse's Aide in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.