Active NPI
Demitra Helping Hands
- Administrator Registered Nurse
- Portsmouth, VA
National Provider Identifier
1790418119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | Primary | ||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | |||
| Adult Psychiatric/Mental Health Registered Nurse | 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 Hands
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Portsmouth, VA
- NPI 1902524820
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.