SENIORCORPS PENINSULA, LLC (NPI# 1376850321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376850321 |
| Entity Type | Organization |
| Organization Name | SENIORCORPS PENINSULA, LLC |
| Other Organization Name | SENIORCORP |
| Practice Address |
2200 Colonial Ave Suite 21 Norfolk VA 23517-1915 |
| Mailing Address |
500 Kirts Blvd. Troy MI 48084-4134 |
| Practice Telephone | 7576400176 |
| Practice Fax Number | 7576400558 |
| Mailing Telephone | 2488248564 |
| Mailing Fax Number | 8556186655 |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | MR. THOMAS MICHAEL SMITH JR. (CEO) |
| Authorized Official Telephone | 2488246000 |
| Is Organization Subpart | Y |
| Parent Organization Name | SENIORCORPS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | HOME CARE AGENCY | HCO11527 | 01 |
| Other Name | Type Code |
|---|---|
| Seniorcorp | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053696963 | Seniorcorps Peninsula, LLC | Home Health | 236 Clearfield Ave Ste 211, Virginia Beach, VA 23462-1893 | 2011-10-12 |
| Street Address |
2200 COLONIAL AVE SUITE 21 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23517-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437462124 | Active Chiropractic and Wellness | Clinic/Center | 2200 Colonial Ave, Suite 2, Norfolk, VA 23517-1915 | 2010-07-22 |
| 1396179743 | Ghent Family Dentistry, LLC | Clinic/Center | 2200 Colonial Ave, Suite 12, Norfolk, VA 23517-1915 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948535 | Honey Behavioral Therapy | Behavioral Analyst | 520 W. 21st Street, Suite G2-407, Norfolk, VA 23517 | 2017-08-17 |
| 1245638899 | Americare Plus, LLC. | In Home Supportive Care | 2200 Colonial Avenue, Suite 15, Norfolk, VA 23517 | 2014-12-15 |
| 1932458478 | Carolyn Reed Hersh | Counselor | 117 W. 21st Street, Suite 206, Norfolk, VA 23517 | 2012-08-30 |
| 1487959342 | Harris Teeter, LLC | Pharmacy | 1320 Colonial Avenue, Norfolk, VA 23517 | 2011-01-24 |
| 1912133406 | Air Specialty Corp | Contractor | 121 East 25th St, Norfolk, VA 23517 | 2009-06-10 |
| 1578798849 | East End Academy Inc Southside | Clinic/Center | 2607 Colonial Avenue, Norfolk, VA 23517 | 2009-05-15 |
| 1568682292 | Jennifer S Derugen | Midwife | 1700 Hampton Blvd, Apt A, Norfolk, VA 23517 | 2007-04-26 |
| 1265568026 | Norfolk Integrative Manual Therapy | Physical Therapist | 350 22 St W., Suite 108, Norfolk, VA 23517 | 2007-02-26 |
| 1528133436 | Krysia B Witkowski | Physical Therapist | 350 W 22nd St, Suite 108, Norfolk, VA 23517 | 2006-11-24 |
| 1699846121 | Orthopaedic Associates of Virginia, Ltd | Neuromusculoskeletal Medicine, Sports Medicine | 953b West 21st St, Virginia Beach, VA 23517 | 2006-11-13 |
| Find all providers in zip 23517 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590563 | Trinity Home Care | In Home Supportive Care | 618 Euwanee Pl, Norfolk, VA 23503-5325 | 2019-10-22 |
| 1730741331 | Hampton Roads Home Care LLC | In Home Supportive Care | 957 W 21st St Ste K, Norfolk, VA 23517-1536 | 2019-07-03 |
| 1417519505 | Legendary Healthcare, LLC | In Home Supportive Care | 106 Suburban Dr, Norfolk, NE 68701-6720 | 2019-06-28 |
| 1700344033 | Starkel Corporation | In Home Supportive Care | 100 N 34th St Ste D, Norfolk, NE 68701-7700 | 2019-03-05 |
| 1093218893 | Wright Care Health Services, LLC | In Home Supportive Care | 5215 Colley Ave Ste 133, Norfolk, VA 23508-2172 | 2018-03-18 |
| 1144747155 | Yeshoveiv Health | In Home Supportive Care | 273 Granby St Ste 200, Norfolk, VA 23510-1800 | 2017-08-30 |
| 1699224295 | Norfolk Senior Care LLC | In Home Supportive Care | 6040 E Virginia Beach Blvd, Suite B, Norfolk, VA 23502-2474 | 2016-09-25 |
| 1669857215 | Golden Transitions Inc. | In Home Supportive Care | 1800 W Pasewalk Ave Ste A, Norfolk, NE 68701-5657 | 2015-07-24 |
| 1245638899 | Americare Plus, LLC. | In Home Supportive Care | 2200 Colonial Avenue, Suite 15, Norfolk, VA 23517 | 2014-12-15 |
| 1568769727 | Healing Hands Services | In Home Supportive Care | 1400 Arbor Ave, Norfolk, VA 23513-1115 | 2011-02-23 |
| Find all providers in NORFOLK | ||||
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| 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.