Organization Active NPI

Elisheba of Mt Zion

  • Case Manager/Care Coordinator
  • Hampton, VA
National Provider Identifier
1922810522
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ELISHEBA OF MT ZION
Practice address
12 Chinaberry PL
Hampton, VA 23666-2173
Phone
(757) 325-7313
NPI assigned
Jan 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Qeturah Gunn
Title
Owner/Ceo
Phone
(757) 325-7313

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

12 Chinaberry PL
Hampton, VA 23666-2173

Mailing address

12 Chinaberry PL
Hampton, VA 23666-2173
Phone (757) 325-7313

National Provider Directory

National Provider Directory
Tax ID family
Elisheba of Mt Zion2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1922810522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CHINABERRY PL",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662173",
            "telephone_number": "757-325-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CHINABERRY PL",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662173",
            "telephone_number": "757-325-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISHEBA OF MT ZION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "QETURAH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "757-325-7313"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.