D-Vine Grace Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-171264 Issued in VA

Legal business name

D-VINE GRACE HOME HEALTH CARE LLC

Practice address

114 Chowan Dr
Suite a
Portsmouth, VA 23701-2452

Phone

(757) 488-1102

Fax

(757) 488-1107

NPI assigned

Feb 11, 2015

Organization subpart

No

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

Authorized official

Name

Nicky Charles

Title

Ceo/Owner

Phone

(757) 673-4476

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

D-Vine Grace Home Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• D-Vine Grace Home Health Care LLC

  • Home Health Agency
  • Portsmouth, VA
  • NPI 1174972376
  NPD tax ID

Locations

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1861883860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CHOWAN DR",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012452",
            "telephone_number": "757-488-1102",
            "fax_number": "757-488-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CHOWAN DR",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012452",
            "telephone_number": "757-488-1102",
            "fax_number": "757-488-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D-VINE GRACE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "NICKY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "757-673-4476"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "41999",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "151264",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-171264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015086685",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Samuel Cutler, M.D.
• Elizabeth Cutter, BSDH,RDH
• David H Cyr
• D & D Medical Transportation LLC
• D-Vine Grace Home Health Care LLC
• Christopher Francis D'Esposito Jr., MD
• D'Vine Intervention Counseling Center
• D&J Proficient Health Care LLC
• D&J Proficient Skilled Home Healthcare LLC
• Jesse Michael Daconta, PHARMD

• Home Health Agency in Portsmouth, VA
• Providers in Portsmouth, 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 Aug 10, 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.