Active NPI
Breeric LLC
- Home Health Agency
- Chesapeake, VA
National Provider Identifier
1750089330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BREERIC LLC
- Practice address
- 1109 S Military Hwy
Chesapeake, VA 23320-2347 - Phone
- (757) 362-1157
- Fax
- (757) 260-7988
- NPI assigned
- Feb 22, 2023
- Organization subpart
- Yes
- Parent organization
- BREERIC LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sabrina Ann Davis
- Title
- Administrator
- Phone
- (757) 362-1157
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1109 S Military Hwy
Chesapeake, VA 23320-2347
Mailing address
809 Professional Place, BLDG a
Unit 103
Chesapeake, VA 23320
Phone (757) 362-1157
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30017627240002 | Medicaid | VA | |
| HCO263306 | Other | VA | STATE LICENSE |
Other names 1
- Agape Care
National Provider Directory
National Provider Directory- Part of
- Breeric LLC
Locations
809 Professional Pl W
Ste A103
Chesapeake, VA 23320
Phone (757) 401-9871
700 Rosemont Ave
Bldg 6
Chesapeake, VA 23324
1109 S Military Hwy
Chesapeake, VA 23320
Phone (757) 523-2333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735948800000",
"number": "1750089330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 PROFESSIONAL PLACE, BLDG A",
"address_2": "UNIT 103",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23320",
"telephone_number": "757-362-1157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 S MILITARY HWY",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202347",
"telephone_number": "757-362-1157",
"fax_number": "757-260-7988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREERIC LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BREERIC LLC",
"enumeration_date": "2023-02-22",
"last_updated": "2025-01-04",
"certification_date": "2025-01-04",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "SABRINA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "757-362-1157",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30017627240002",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "HCO263306",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Agape Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Agape Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.