Individual provider Active NPI

Lequita Roberts

  • Home Health Agency
  • Virginia Beach, VA
National Provider Identifier
1881288264
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-212486 Issued in VA
Practice address
3320 Virginia Beach Blvd Ste 8B
Virginia Beach, VA 23452-5621
Phone
(757) 270-2924
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-212486 VA Primary

Addresses

Primary practice location

3320 Virginia Beach Blvd Ste 8B
Virginia Beach, VA 23452-5621

Mailing address

3320 Virginia Beach Blvd Ste 8B
Virginia Beach, VA 23452-5621
Phone (757) 270-2924

Other identifiers 1

IdentifierTypeStateIssuer
4568234912MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL lhgenuinehands123@gmail.com

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
HCO-212486VAMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1881288264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 VIRGINIA BEACH BLVD STE 8B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525621",
            "telephone_number": "757-270-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 VIRGINIA BEACH BLVD STE 8B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525621",
            "telephone_number": "757-270-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LEQUITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-212486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4568234912",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lhgenuinehands123@gmail.com",
            "affiliation": "N",
            "address_1": "3320 Virginia Beach Blvd Ste 8B",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234525621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

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