Individual provider Active NPI

Tuiz Juanda Mills

  • Home Health Aide
  • Portsmouth, VA
National Provider Identifier
1871157792
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
47255 Issued in VA
Practice address
4740 W Norfolk Rd
Portsmouth, VA 23703-2228
Phone
(757) 582-2990
NPI assigned
Apr 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 47255 VA Primary

Addresses

Primary practice location

4740 W Norfolk Rd
Portsmouth, VA 23703-2228

Mailing address

4740 W Norfolk Rd
Portsmouth, VA 23703-2228
Phone (757) 582-2990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
47255VAMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
A1 in Homecare LLC CurrentSince Apr 26, 2020 Accepting new patients

Locations

4740 W Norfolk Rd
Portsmouth, VA 23703
Phone (757) 582-2990

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1871157792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 W NORFOLK RD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032228",
            "telephone_number": "757-582-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 W NORFOLK RD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032228",
            "telephone_number": "757-582-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "TUIZ",
        "middle_name": "JUANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "VA",
            "license": "47255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.