ELKHART ASSISTED LIVING LLC


Address: 2900 Chestnut St, Portsmouth, VA 23704-7058
Phone: 7577395020

ELKHART ASSISTED LIVING LLC (NPI# 1013485234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013485234
Entity Type Organization
Organization Name ELKHART ASSISTED LIVING LLC
Practice Address 2900 Chestnut St
Portsmouth
VA 23704-7058
Practice Telephone 7577395020
Enumeration Date 2018-11-06
Last Update Date 2018-11-06
Authorized Official Name VALENCIA KELLY (OWNER/PRESIDENT)
Authorized Official Telephone 7577395020
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253Z00000X In Home Supportive Care Agencies

Other Provider/Organization Names

Other Name Type Code
Elkhart Home Health Care Doing Business As Name - Organization

Office Location

Street Address 2900 CHESTNUT ST
City PORTSMOUTH
State VA
Zip Code 23704-7058

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NPI Name Taxonomy Address Enumeration
1457973588 Ralpheana Denee Lawton Clinic/Center 2317 Richmond Ave, Portsmouth, VA 23704 2020-05-12
1376079186 Faithful Medical Transportation LLC Non-emergency Medical Transport (VAN) 1509 Parker Ave, Portsmouth, VA 23704 2017-05-11
1285184168 Sarah Crawford Counselor Harbor Point, 301 Fort Lane, Portsmouth, VA 23704 2016-10-04
1295137560 Sarah Lee Arnell Rogers Registered Nurse 935 Blair Steet, Portsmouth, VA 23704 2014-09-18
1396161212 Cheryl Denise Mcneil Home Health 1416 Portsmouth Boulevard, Portsmouth, VA 23704 2014-03-17
1609173988 Roberta Marie Hansel-union Behavioral Analyst 711 Court Street, Portsmouth, VA 23704 2011-02-22
1447560875 Denise Anderson Anderson Licensed Vocational Nurse 1227 Summit Ave, Portsmouth, VA 23704 2010-10-19
1770890204 Reymond G. Pascual Md.,pc Specialist 704 London Blvd, Portsmouth, VA 23704 2010-09-03
1184820003 Charles Seth Eisenberg Internal Medicine Nmcp Cardiology, 620 John Paul Jones Cir, Portsmouth, VA 23704 2007-06-26
1902028251 James Bentley Treatment Program Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1020 Leckie Street, Portsmouth, VA 23704 2007-05-03
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Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780291054 Marianne S Osborne In Home Supportive Care 1121 Sunset St, Portsmouth, OH 45662-6449 2020-09-30
1548811631 Home Care of New England LLC In Home Supportive Care 155 Fleet St, Portsmouth, NH 03801-4050 2019-09-20
1710395397 Anytime Home Care, Inc In Home Supportive Care 3403 County St Ste C, Portsmouth, VA 23707-3233 2014-07-28
1427484997 Holistic Farmacy Inc In Home Supportive Care 433 High St, Portsmouth, VA 23704-3621 2013-09-17
1336581743 Tender Touch In Home Supportive Care 208 Avondale Rd, Portsmouth, VA 23701-4206 2013-07-25
1841540812 Renaissance Family Care, LLC In Home Supportive Care 702 Hancock Ave, Portsmouth, VA 23701-3345 2012-09-17
1952616781 Comprehensive Family Services of Virginia In Home Supportive Care 2809 Arcadia Ave, Portsmouth, VA 23704-6003 2010-08-17
1114247194 Larita Spratley In Home Supportive Care 828 Bold St, Portsmouth, VA 23701-3904 2010-06-01
1669700969 Blessed Hand Home Health Care In Home Supportive Care 2601 Airline Blvd, Portsmouth, VA 23701-2706 2009-11-24
1003141227 James Bentley Treatment Program In Home Supportive Care 1020 Leckie St, Portsmouth, VA 23704-1904 2009-10-06
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Competitor

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City PORTSMOUTH
Zip Code 23704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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