SENIORCORPS PENINSULA, LLC (NPI# 1053696963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053696963 |
| Entity Type | Organization |
| Organization Name | SENIORCORPS PENINSULA, LLC |
| Other Organization Name | PINNACLE SENIOR CARE |
| Practice Address |
236 Clearfield Ave Ste 211 Virginia Beach VA 23462-1893 |
| Mailing Address |
P.o. Box 99278 Troy MI 48099-9278 |
| Practice Telephone | 7576440150 |
| Practice Fax Number | 8556655633 |
| Mailing Telephone | 2488246000 |
| Mailing Fax Number | 8556186655 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | DENNIS E KNOFF (VP/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2488246000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HCO14794 | VA | Agencies |
| Other Name | Type Code |
|---|---|
| Pinnacle Senior Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 263 Mclaws Cir Ste 104, Williamsburg, VA 231855674 | 7575612850 | 8556186655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376850321 | Seniorcorps Peninsula, LLC | In Home Supportive Care | 2200 Colonial Ave, Suite 21, Norfolk, VA 23517-1915 | 2010-09-10 |
| Street Address |
236 CLEARFIELD AVE STE 211 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-1893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060200 | With Loving Hands LLC | Home Health | 1213 Woodbridge Trl, Virginia Beach, VA 23453-1660 | 2020-10-14 |
| 1649886813 | Mother's Helper Home Care | Home Health | 410 Newtown Rd, Virginia Beach, VA 23462-5619 | 2020-09-22 |
| 1275148017 | Gifted Hands | Home Health | 464 Investors Pl Ste 204h, Virginia Beach, VA 23452-1167 | 2020-09-09 |
| 1649880527 | Unique Destiny Bellamy | Home Health | 4616 Westgrove Ct Ste 102, Virginia Beach, VA 23455-5414 | 2020-08-05 |
| 1588282529 | Leslie Rodriguez | Home Health | 1324 Hafford Rd, Virginia Beach, VA 23464-8610 | 2020-07-07 |
| 1679199269 | Lisa Nicole Sampson | Home Health | 2413 Beaufort Ave # B, Virginia Beach, VA 23455-1309 | 2020-06-19 |
| 1790309540 | Shades of Life Home Care Services,llc | Home Health | 138 S Rosemont Rd Ste 211, Virginia Beach, VA 23452-4336 | 2020-06-07 |
| 1740804962 | Advanced Biomechanics, Pllc | Home Health | 4421 Danali Ln, Virginia Beach, VA 23456-1621 | 2020-06-03 |
| 1033732599 | Dorina K Hayes | Home Health | 1204 Medcap Ct, Virginia Beach, VA 23453-1701 | 2020-05-19 |
| 1356986889 | Quality Care Home Health LLC | Home Health | 5267 Greenwich Rd Ste 300e, Virginia Beach, VA 23462-6028 | 2019-11-07 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
Please comment or provide details below to improve the information on SENIORCORPS PENINSULA, LLC.
| 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.