Organization Active NPI

Your Family Is Family Home Healthcare Services, LLC

  • Nursing Care Agency
  • Virginia Beach, VA
National Provider Identifier
1710690888
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
YOUR FAMILY IS FAMILY HOME HEALTHCARE SERVICES, LLC
Practice address
3640 S Plaza TRL Ste 204a
Virginia Beach, VA 23452-3363
Phone
(757) 938-8126
Fax
(757) 222-8928
NPI assigned
Jan 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Lashaun Edmonds
Title
Administrator
Phone
(757) 938-8126

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary
Supports Brokerage Agency 251X00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

3640 S Plaza TRL Ste 204a
Virginia Beach, VA 23452-3363

Mailing address

3640 S Plaza TRL Ste 204a
Virginia Beach, VA 23452-3363
Phone (757) 938-8126

Other identifiers 1

IdentifierTypeStateIssuer
1104313055MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Your Family Is Family Home Healthcare Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3640 S Plaza Trl
Ste 204A
Virginia Beach, VA 23452
Phone (757) 938-8126

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1710690888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 S PLAZA TRL STE 204A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523363",
            "telephone_number": "757-938-8126",
            "fax_number": "757-222-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 S PLAZA TRL STE 204A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523363",
            "telephone_number": "757-938-8126",
            "fax_number": "757-222-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY IS FAMILY HOME HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "LASHAUN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-938-8126"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104313055",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.