Organization Active NPI

Demitra Helping Hands

  • Administrator Registered Nurse
  • Portsmouth, VA
National Provider Identifier
1790418119
Registry record updated Jul 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
Legal business name
DEMITRA HELPING HANDS
Practice address
4430 Pelican PT
Portsmouth, VA 23703-5369
Phone
(757) 292-3687
NPI assigned
Jul 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2022

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

Authorized official

Name
Demitra Nicole Mickey, RN
Title
Ceo
Phone
(757) 292-3687

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WA2000X Primary
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X
Adult Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0809X
Nursing Care Agency 251J00000X
Community/Behavioral Health Agency 251S00000X
Adult Care Home Facility 311ZA0620X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Physical Disabilities Residential Treatment Facility 320700000X

Addresses

Primary practice location

4430 Pelican PT
Portsmouth, VA 23703-5369

Mailing address

4430 Pelican PT
Portsmouth, VA 23703-5369
Phone (757) 292-3687

National Provider Directory

National Provider Directory
Tax ID family
Demitra Helping Hands2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656892800000",
    "number": "1790418119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 PELICAN PT",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237035369",
            "telephone_number": "757-292-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 PELICAN PT",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237035369",
            "telephone_number": "757-292-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMITRA HELPING HANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-04",
        "last_updated": "2022-07-04",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "MICKEY",
        "authorized_official_first_name": "DEMITRA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-292-3687",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.