Helping Hands Adult Care Center of Petersburg

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

ADC141103624 Issued in VA

Legal business name

HELPING HANDS ADULT CARE CENTER OF PETERSBURG

Practice address

130 McKeever St
Petersburg, VA 23803-4302

Phone

(804) 861-1353

Fax

(804) 862-2317

NPI assigned

Jun 10, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Irene Davis

Title

Administrator

Phone

(804) 861-1353

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1922489491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MCKEEVER ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034302",
            "telephone_number": "804-861-1353",
            "fax_number": "804-862-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MCKEEVER ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034302",
            "telephone_number": "804-861-1353",
            "fax_number": "804-862-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELPING HANDS ADULT CARE CENTER OF PETERSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-861-1353",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "VA",
            "license": "ALF141103821",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "VA",
            "license": "ADC141103624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101267034",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101043609",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthstat Onsite Clinic Amsted Brenco
• Healthy Minds Supportive Interventions
• Heart to Heart Residential Services LLC
• Heavenly Touch Counseling Service LLC.
• Heavn on Earth
• Helping Hands of Virginia, LLC
• Tonya Henderson, PHARM.D.
• Kourtney Hendricks
• Thomas James Hennessey, D.C.
• Here for You LLC

• Custodial Care Facility in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Custodial Care Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.