INDEPENDENT SENIOR HOME SERVICES (NPI# 1396915195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396915195 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT SENIOR HOME SERVICES |
| Practice Address |
4599 Quaker Dr Suffolk VA 23437-9026 |
| Practice Telephone | 7574783884 |
| Mailing Telephone | 7574783884 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | MS. STACEY N PHILLIPS (OWNER) |
| Authorized Official Telephone | 7574783884 |
| Authorized Official Credential | CERTIFIED NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 2008-237117-R | VA | Agencies |
| Street Address |
4599 QUAKER DR |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23437-9026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962984328 | Box Elder Behavioral Health LLC | Clinic/Center | 1795 Box Elder Road, Suffolk, VA 23437 | 2018-09-02 |
| 1558707984 | Amy Marie Clark | Military Health Care Provider | 260 Barnes Rd, Suffolk, VA 23437 | 2013-05-13 |
| 1548463185 | Mckenney Medical Group, Pllc | Family Medicine | 6712a S Quay Rd, Suffolk, VA 23437-8697 | 2007-06-11 |
| 1659897213 | Everett Service Provider Multi Medical Group | Durable Medical Equipment & Medical Supplies | 7296 Quaker Dr, Suffolk, VA 23437-8903 | 2017-08-16 |
| 1184111502 | John R Paige | Home Health | 7296 Quaker Dr, Suffolk, VA 23437-8903 | 2018-04-20 |
| 1073069399 | Gertrude Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7566 Quaker Dr, Suffolk, VA 23437-8906 | 2016-08-28 |
| 1780238105 | Lora Faulk Hunter | Non-emergency Medical Transport (VAN) | 6425 Okelly Dr, Suffolk, VA 23437-8978 | 2019-07-25 |
| 1629613526 | Riding With My Angels, LLC | Non-emergency Medical Transport (VAN) | 6425 Okelly Dr, Suffolk, VA 23437-8978 | 2019-11-14 |
| 1760572994 | A and R Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6020 Holy Neck Rd, Suffolk, VA 23437-9227 | 2006-10-16 |
| 1386132363 | Branchaud Behavioral Therapy | Behavioral Analyst | 5776 Greenwood Rd, Suffolk, VA 23437-9252 | 2018-04-25 |
| Find all providers in zip 23437 | ||||
| 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 |
|---|---|---|---|---|
| 1992318265 | Advance Home Health Care LLC | Home Health | 112 W Washington St Ste 505, Suffolk, VA 23434-5246 | 2020-08-26 |
| 1851909022 | Redicare Home Health | Home Health | 180 E Washington St, Suffolk, VA 23434-4536 | 2020-07-14 |
| 1508483835 | Victorious Angels Home Healthcare LLC. | Home Health | 252 Jonathans Way, Suffolk, VA 23434-9145 | 2020-07-02 |
| 1396367579 | Michelle Etolie Hollimon | Home Health | 5620 Indian Trl, Suffolk, VA 23434-7365 | 2020-05-11 |
| 1770104200 | Next Generation Home Care | Home Health | 112 W Washington St Ste M105, Suffolk, VA 23434-5269 | 2020-05-06 |
| 1447898176 | Honeste In Loving Home Health Care Services | Home Health | 254 Culloden St, Suffolk, VA 23434-4609 | 2019-12-12 |
| 1033750443 | A&a Home Health | Home Health | 4433 Godwin Blvd Ste B, Suffolk, VA 23434-8483 | 2019-10-07 |
| 1457902447 | Unique Purpose Home Health LLC | Home Health | 510 Mahlon Ave, Suffolk, VA 23434-4116 | 2019-09-22 |
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1932758216 | Jacob Alan Barnes | Home Health | 3012 Bay Shore Ln, Suffolk, VA 23435-3176 | 2019-09-09 |
| Find all providers in SUFFOLK | ||||
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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.