Sweet Grace Home Health Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-171481 Issued in VA

Legal business name

SWEET GRACE HOME HEALTH AGENCY, LLC

Practice address

112 W Washington St
Suite 302
Suffolk, VA 23434-5246

Phone

(757) 934-6000

Fax

(757) 934-6001

NPI assigned

Jul 22, 2016

Last updated

Jul 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Evelyn Marie BeamonNPI 1083078133

Title

Owner/ Administrator

Phone

(757) 934-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evelyn Beamon

  • Home Health Aide
  • Suffolk, VA
  • NPI 1083078133
  NPD (past) Authorized official

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1851744049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W WASHINGTON ST",
            "address_2": "SUITE 302",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345246",
            "telephone_number": "757-934-6000",
            "fax_number": "757-934-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W WASHINGTON ST",
            "address_2": "SUITE 302",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345246",
            "telephone_number": "757-934-6000",
            "fax_number": "757-934-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET GRACE HOME HEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "BEAMON",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "757-934-6000",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-171481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.