Organization Active NPI

Awesome Innovative Services LLC

  • Home Health Agency
  • Newport News, VA
National Provider Identifier
1679370340
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AWESOME INNOVATIVE SERVICES LLC
Practice address
6022 Jefferson Ave Ste 203
Newport News, VA 23605-3000
Phone
(718) 865-6168
NPI assigned
Feb 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Charley Woodberry
Title
Owner
Phone
(718) 865-6168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6022 Jefferson Ave Ste 203
Newport News, VA 23605-3000

Mailing address

6022 Jefferson Ave Ste 203
Newport News, VA 23605-3000
Phone (718) 865-6168

Other names 1

  • Awesome Innovative Services LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

6022 Jefferson Ave
Ste 203
Newport News, VA 23605
Phone (718) 865-6168

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1679370340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 JEFFERSON AVE STE 203",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236053000",
            "telephone_number": "718-865-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 JEFFERSON AVE STE 203",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236053000",
            "telephone_number": "718-865-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWESOME INNOVATIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "WOODBERRY",
        "authorized_official_first_name": "CHARLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-865-6168"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Awesome Innovative Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.