Organization Active NPI

Shades of Life Home Care Services,LLC

  • Home Health Agency
  • Virginia Beach, VA
National Provider Identifier
1790309540
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHADES OF LIFE HOME CARE SERVICES,LLC
Practice address
138 S Rosemont Rd Ste 211
Virginia Beach, VA 23452-4336
Phone
(757) 672-3507
Fax
(757) 210-9481
NPI assigned
Jun 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Dr. Dionne Chole Gibbs, NURSE
Title
Administrator
Phone
(757) 672-3507

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

138 S Rosemont Rd Ste 211
Virginia Beach, VA 23452-4336

Mailing address

2201 Bagelwood CT
Virginia Beach, VA 23456-6897
Phone (757) 672-3507

National Provider Directory

National Provider Directory

Locations

138 S Rosemont Rd
Ste 211
Virginia Beach, VA 23452
Phone (757) 672-3507

NPI Registry JSON

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1790309540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BAGELWOOD CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234566897",
            "telephone_number": "757-672-3507",
            "fax_number": "757-210-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S ROSEMONT RD STE 211",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524336",
            "telephone_number": "757-672-3507",
            "fax_number": "757-210-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADES OF LIFE HOME CARE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-07",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_middle_name": "CHOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-672-3507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.