Shekinah Glory LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SHEKINAH GLORY LLC

Practice address

3805 Table Rock CT
Virginia Beach, VA 23452-2829

Phone

(757) 965-4575

NPI assigned

Aug 27, 2014

Last updated

Aug 27, 2014By 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

Mrs. Deborah Olukanni

Title

Assistant Program Director

Phone

(757) 450-9827

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1881094860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 TABLE ROCK CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522829",
            "telephone_number": "757-965-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 TABLE ROCK CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522829",
            "telephone_number": "757-965-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEKINAH GLORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "OLUKANNI",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ASSISTANT PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "757-450-9827",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.