Petersburg Adult Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PETERSBURG ADULT HEALTHCARE

Practice address

130 McKeever St
Petersburg, VA 23803-4302

Phone

(804) 861-8944

NPI assigned

Nov 16, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Kim Brandveen

Title

Administrator

Phone

(804) 861-8944

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1730456997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MCKEEVER ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MCKEEVER ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034302",
            "telephone_number": "804-861-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSBURG ADULT HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "BRANDVEEN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-861-8944",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Perkinson
• Samuel Winfred Person, D.P.M.
• Personal Foot Care Group
• Personal Foot Care II, LLC
• Personal Footcare LLC
• Petersburg Case Management & Services
• Petersburg Clinic Company LLC
• Petersburg Complete Dental Care PLLC
• Petersburg Dermatology, PC
• Petersburg Family Eye Care

• Home Health Agency in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.