NPIMap

Organization Active NPI

Healthcare Services 101

  • In Home Supportive Care Agency
  • Suffolk, VA
National Provider Identifier
1841434800
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
0001159829 Issued in VA
Legal business name
HEALTHCARE SERVICES 101
Practice address
264 Holbrook Arch
Suffolk, VA 23434-2156
Phone
(757) 581-7028
Fax
(757) 538-8943
NPI assigned
Apr 21, 2009
Last updated
Jun 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Authorized official

Name
Mrs. Raquel Montrell Harris, RN,BSN
Title
Ceo
Phone
(757) 581-7028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 0001159829 VA Primary

Addresses

Primary practice location

264 Holbrook Arch
Suffolk, VA 23434-2156

Mailing address

264 Holbrook Arch
Suffolk, VA 23434-2156
Phone (757) 581-7028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1841434800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 HOLBROOK ARCH",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234342156",
            "telephone_number": "757-581-7028",
            "fax_number": "757-538-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 HOLBROOK ARCH",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234342156",
            "telephone_number": "757-581-7028",
            "fax_number": "757-538-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE SERVICES 101",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "MONTRELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-581-7028",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "0001159829",
            "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 Jun 29, 2009; 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.