NPIMap

Organization Active NPI

Heavenlly Hands Home Healthcare,LLC

  • Respite Care
  • Chesapeake, VA
National Provider Identifier
1881002822
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
HCO-141137 Issued in VA
Legal business name
HEAVENLLY HANDS HOME HEALTHCARE,LLC
Practice address
4425 Portsmouth Blvd
Suite 210 E
Chesapeake, VA 23321-2152
Phone
(757) 632-9454
NPI assigned
Jul 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Lauren Wilson
Title
Owner/Administrator
Phone
(757) 632-9454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X HCO-141137 VA Primary

Addresses

Primary practice location

4425 Portsmouth Blvd
Suite 210 E
Chesapeake, VA 23321-2152

Mailing address

4425 Portsmouth Blvd
Suite 210 E
Chesapeake, VA 23321-2152

Other identifiers 2

IdentifierTypeStateIssuer
0174648763MedicaidVA
0174648847MedicaidVA

National Provider Directory

National Provider Directory

Locations

4425 Portsmouth Blvd
Ste 210E
Chesapeake, VA 23321
Phone (757) 230-0056

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1881002822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PORTSMOUTH BLVD",
            "address_2": "SUITE 210 E",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PORTSMOUTH BLVD",
            "address_2": "SUITE 210 E",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212152",
            "telephone_number": "757-632-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLLY HANDS HOME HEALTHCARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "757-632-9454"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "HCO-141137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0174648763",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0174648847",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.