Organization Active NPI

Elder Path Inc.

  • Case Manager/Care Coordinator
  • Hampton, VA
National Provider Identifier
1699292367
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ELDER PATH INC.
Practice address
4410 E Claiborne SQ. Ste 334
Hampton, VA 22366-2200
Phone
(757) 251-3838
Fax
(757) 282-5857
NPI assigned
Aug 24, 2017
Last updated
Aug 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Authorized official

Name
Ms. Shervonne Evette Banks, MSG
Title
Gerontologist
Phone
(757) 240-7928

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X NU
Adult Companion 372600000X NU
Personal Care Attendant 3747P1801X NU
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

4410 E Claiborne SQ. Ste 334
Hampton, VA 22366-2200

Mailing address

4410 E Claiborne SQ. Ste 334
Hampton, VA 23666-2200
Phone (757) 251-3838

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1699292367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 E CLAIBORNE SQ. STE 334",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662200",
            "telephone_number": "757-251-3838",
            "fax_number": "757-282-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 E CLAIBORNE SQ. STE 334",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "223662200",
            "telephone_number": "757-251-3838",
            "fax_number": "757-282-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER PATH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "SHERVONNE",
        "authorized_official_middle_name": "EVETTE",
        "authorized_official_title_or_position": "GERONTOLOGIST",
        "authorized_official_telephone_number": "757-240-7928",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSG"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.