Geriatric Options LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

112160 Issued in VA

Legal business name

GERIATRIC OPTIONS LLC

Doing business as

Geriatric Options

Practice address

4410 Claiborne Square Ste 334
Hampton, VA 23669-2290

Phone

(757) 240-7928

NPI assigned

Feb 14, 2008

Last updated

Aug 15, 2014By 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

Ms. Shervonne Banks, MSG

Title

Gerontologist

Phone

(757) 240-7928

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Geriatric Options Doing business as

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1760650576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 CLAIBORNE SQUARE STE 334",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236692290",
            "telephone_number": "757-240-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 CLAIBORNE SQUARE STE 334",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236692290",
            "telephone_number": "757-240-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC OPTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "SHERVONNE",
        "authorized_official_title_or_position": "GERONTOLOGIST",
        "authorized_official_telephone_number": "757-240-7928",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSG"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "VA",
            "license": "112160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033398003",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geriatric Options",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Point of Service in Hampton, VA
• Providers in Hampton, VA by specialty
• Point of Service in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.