Active NPI
No Place Like Home
- Health Maintenance Organization
- Bassett, VA
National Provider Identifier
1730555780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- NO PLACE LIKE HOME
- Practice address
- 1713 Sunset Dr
Bassett, VA 24055-4834 - Phone
- (276) 421-2156
- Fax
- (276) 421-2157
- NPI assigned
- Aug 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacquelene Hairston Stephenson, RN
- Title
- Owner
- Phone
- (276) 421-2156
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
1713 Sunset Dr
Bassett, VA 24055-4834
Mailing address
1713 Sunset Dr
Bassett, VA 24055-4834
Phone (276) 421-2156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0162071366 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439424000000",
"number": "1730555780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 SUNSET DR",
"city": "BASSETT",
"state": "VA",
"postal_code": "240554834",
"telephone_number": "276-421-2156",
"fax_number": "276-421-2157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1713 SUNSET DR",
"city": "BASSETT",
"state": "VA",
"postal_code": "240554834",
"telephone_number": "276-421-2156",
"fax_number": "276-421-2157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NO PLACE LIKE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-13",
"last_updated": "2015-08-13",
"status": "A",
"authorized_official_last_name": "STEPHENSON",
"authorized_official_first_name": "JACQUELENE",
"authorized_official_middle_name": "HAIRSTON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "276-421-2156",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0162071366",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bassett, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.