Bambis Haus of Love,LLC

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Legal business name

BAMBIS HAUS OF LOVE,LLC

Practice address

4000 Dartmouth St
Portsmouth, VA 23707-3816

Phone

(757) 920-8841

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Latisha Abbott

Title

Program Director

Phone

(757) 920-8841

Specialties & licenses 1

Addresses

Other names 1

• Bambis Haus Of Love,LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latisha Marie Abbott Edison

  • Nursing Home Administrator
  • Portsmouth, VA
  • NPI 1568239242
  NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1942053343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 DARTMOUTH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073816",
            "telephone_number": "757-920-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 DARTMOUTH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073816",
            "telephone_number": "757-920-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBIS HAUS OF LOVE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "757-920-8841"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bambis Haus Of Love,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Michael Balderston, M.D.
• Thomas Michael Baldwin, M.D.
• Brad R Ballard, MD
• Kerrie Boland Balmores, PSY.D.
• Luke Hodgson Balsamo, MD
• Crystal L Banks
• Taylor Banks, M.D.
• Graeme Bannerman, NP
• Barbara Banze
• Barbara Compassionate Homecare LLC

• Nursing Home Administrator in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Nursing Home Administrator in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.