Madonna Home

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Legal business name

MADONNA HOME

Practice address

814 W 37TH St
Norfolk, VA 23508-2610

Phone

(757) 623-6662

Fax

(757) 623-4966

NPI assigned

Jan 11, 2019

Last updated

Jan 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Charlene Davis

Title

Administrator

Phone

(757) 435-7809

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yvette L Thompson, DPM

  • Primary Podiatric Medicine Podiatrist
  • Orange Park, FL
  • NPI 1821029539
  NPD (past)

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1750855847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 W 37TH ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082610",
            "telephone_number": "757-623-6662",
            "fax_number": "757-623-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 W 37TH ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082610",
            "telephone_number": "757-623-6662",
            "fax_number": "757-623-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADONNA HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-435-7809",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teka Christiane Mackey, LCSW
• Erin Macmichael
• Madan Periodontics and Implant Dentistry PLLC
• Holly Ann Maddox, AGPCNP-BC
• Brittney Madison-Shorts
• Allison Louise Madore, RN
• Lisa K Madren, MD
• Gabrielle Zoe Madsen, M.D.
• Lou Ann Young Maes
• Denise Magee, CRNA

• Nursing Home Administrator in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Nursing Home Administrator in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.