Organization Active NPI

Hebron Homes LLC

  • Home Health Agency
  • Charlottesville, VA
National Provider Identifier
1700028263
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-09557 Issued in VA
Legal business name
HEBRON HOMES LLC
Practice address
2114 Angus Rd
Suite 237
Charlottesville, VA 22901-2768
Phone
(434) 293-6961
Fax
(540) 301-1800
NPI assigned
Mar 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Yvonne S Okyere, RN
Title
Chief Executive Officer
Phone
(434) 293-6961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-09557 VA Primary

Addresses

Primary practice location

2114 Angus Rd
Suite 237
Charlottesville, VA 22901-2768

Mailing address

2114 Angus Rd
Suite 237
Charlottesville, VA 22901-2768
Phone (434) 293-6961

Other identifiers 1

IdentifierTypeStateIssuer
HCO-09557OtherVAVIRGINIA DEPARTMENT OF HEALTH, OFFICE OF LICENSURE AND CERTIFICATION

Other names 1

  • Hebron Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

2114 Angus Rd
Ste 237
Charlottesville, VA 22901
Phone (434) 293-6961

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1700028263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 ANGUS RD",
            "address_2": "SUITE 237",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012768",
            "telephone_number": "434-293-6961",
            "fax_number": "540-301-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 ANGUS RD",
            "address_2": "SUITE 237",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012768",
            "telephone_number": "434-293-6961",
            "fax_number": "540-301-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBRON HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "OKYERE",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "434-293-6961",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-09557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH, OFFICE OF LICENSURE AND CERTIFICATION",
            "identifier": "HCO-09557",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hebron Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.