Organization Active NPI

Greenlight Homecare Services, LLC

  • Home Health Agency
  • Virginia Beach, VA
National Provider Identifier
1801369715
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GREENLIGHT HOMECARE SERVICES, LLC
Practice address
1206 Laskin Rd Ste 140G
Virginia Beach, VA 23451-5267
Phone
(757) 998-0528
Fax
(757) 807-7248
NPI assigned
Jan 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Kristina Matthews, MA, CNA, QMHPNPI 1356844427
Title
Administrator
Phone
(757) 998-0528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1206 Laskin Rd Ste 140G
Virginia Beach, VA 23451-5267

Mailing address

1206 Laskin Rd Ste 140G
Virginia Beach, VA 23451-5267
Phone (757) 998-0528

National Provider Directory

National Provider Directory

Locations

1206 Laskin Rd
Ste 140G
Virginia Beach, VA 23451
Phone (757) 807-7246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1801369715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 LASKIN RD STE 140G",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515267",
            "telephone_number": "757-998-0528",
            "fax_number": "757-807-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 LASKIN RD STE 140G",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515267",
            "telephone_number": "757-998-0528",
            "fax_number": "757-807-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLIGHT HOMECARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-998-0528",
        "authorized_official_credential": "MA, CNA, QMHP"
    },
    "taxonomies": [
        {
            "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 Jan 3, 2019; 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.