Agbara Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AGBARA HEALTH SERVICES LLC

Practice address

1420 Bardot LN
Portsmouth, VA 23701-3725

Phone

(757) 270-4964

NPI assigned

May 24, 2022

Last updated

Nov 3, 2022By 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

Justin Errol Conyers

Title

Ceo

Phone

(757) 268-5689

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1780322305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 BARDOT LN",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013725",
            "telephone_number": "757-270-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 BARDOT LN",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013725",
            "telephone_number": "757-270-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGBARA HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "CONYERS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "ERROL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-268-5689"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.