Individual provider Active NPI

Grady Sessoms Jr.

  • In Home Supportive Care Agency
  • Midlothian, VA
National Provider Identifier
1699423020
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HCO-221959 Issued in VA
Practice address
3007 E Boundary Ter Ste 109
Midlothian, VA 23112-3933
Phone
(804) 988-6294
NPI assigned
Mar 15, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HCO-221959 VA Primary

Addresses

Primary practice location

3007 E Boundary Ter Ste 109
Midlothian, VA 23112-3933

Mailing address

3007 E Boundary Ter Ste 109
Midlothian, VA 23112-3933
Phone (804) 988-6294

Other identifiers 1

IdentifierTypeStateIssuer
87-2662982OtherVANON-MEDICAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gsessoms@actikare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HCO-221959VAMDIn Home Supportive Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1699423020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 E BOUNDARY TER STE 109",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123933",
            "telephone_number": "804-988-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 E BOUNDARY TER STE 109",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123933",
            "telephone_number": "804-988-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESSOMS",
        "first_name": "GRADY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO-221959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-MEDICAL",
            "identifier": "87-2662982",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gsessoms@actikare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3007 E Boundary Ter Ste 109",
            "city": "Midlothian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231123933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.