Medi Kids VA LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDI KIDS VA LLC

Practice address

207 Granby St Ste 300
Norfolk, VA 23510-1825

Phone

(703) 400-3886

NPI assigned

Mar 10, 2021

Organization subpart

No

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

Authorized official

Name

Nicole GolstonNPI 1629896675

Title

Managing Member

Phone

(703) 400-3886

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.

• Nicole Golston, MA, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Franklin, VA
  • NPI 1629896675
  NPD Authorized official

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1851976914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 GRANBY ST STE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101825",
            "telephone_number": "703-400-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 GRANBY ST STE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101825",
            "telephone_number": "703-400-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI KIDS VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "GOLSTON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "703-400-3886"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Detra Means
• Elizabeth Ann Mears
• Hana Meaza
• Gladys A Medder-Romeo, LMSW
• Jennette Medeiros
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• Home Health Agency in Norfolk, VA
• Providers in Norfolk, 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 Mar 10, 2021; 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.