Organization Active NPI

Amethyst Lily Personal Care Services, LLC

  • Home Health Agency
  • Suffolk, VA
National Provider Identifier
1831605740
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMETHYST LILY PERSONAL CARE SERVICES, LLC
Practice address
502E Forest Oak LN
Suffolk, VA 23434-5464
Phone
(757) 324-0614
Fax
(757) 539-4788
NPI assigned
Dec 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Authorized official

Name
Rhonda Nfewsom, RN
Title
Administrator/Owner
Phone
(757) 324-0614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

502E Forest Oak LN
Suffolk, VA 23434-5464

Mailing address

502E Forest Oak LN
Suffolk, VA 23434-5464
Phone (757) 324-0614

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1831605740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502E FOREST OAK LN",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345464",
            "telephone_number": "757-324-0614",
            "fax_number": "757-539-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502E FOREST OAK LN",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345464",
            "telephone_number": "757-324-0614",
            "fax_number": "757-539-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST LILY PERSONAL CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "NFEWSOM",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "757-324-0614",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.