MADONNA HOME (NPI# 1750855847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750855847 |
| Entity Type | Organization |
| Organization Name | MADONNA HOME |
| Practice Address |
814 W 37th St Norfolk VA 23508-2610 |
| Practice Telephone | 7576236662 |
| Practice Fax Number | 7576234966 |
| Mailing Telephone | 7576236662 |
| Mailing Fax Number | 7576234966 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | MRS. CHARLENE DAVIS (ADMINISTRATOR) |
| Authorized Official Telephone | 7574357809 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | Nursing Service Related Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MADONNA HOME INC. | 814 W 37th St, Norfolk, Virginia 23508 |
| System for Award Management (SAM) Entities | MADONNA HOMES APARTMENTS, LLC | 722 N Huron St, Toledo, OH 43604-1772 |
| System for Award Management (SAM) Entities | MADONNA HOMES, LLC | 722 North Huron, Toledo, OH 43604-1772 |
| Street Address |
814 W 37TH ST |
| City | NORFOLK |
| State | VA |
| Zip Code | 23508-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902429152 | Madison Mcnicholas | Student in an Organized Health Care Education/Training Program | 5115 Hamptom Blvd, Norfolk, VA 23508 | 2020-05-22 |
| 1689173353 | Paraclete Therapeutic Solutions LLC | Community/Behavioral Health | 5215 Colley Ave Ste 107, Norfolk, VA 23508 | 2018-02-07 |
| 1104369305 | Melissa Joy Day | Physical Therapist | 1015 W 47th St., Norfolk, VA 23508 | 2016-11-21 |
| 1629323787 | Tara Dodson Olsson | Physical Therapist | 1015 West 47th Street, Norfolk, VA 23508 | 2012-07-16 |
| 1760776181 | Amelia Cady Dumond Dail | Behavioral Analyst | 810 52nd St, Norfolk, VA 23508 | 2011-06-02 |
| 1568789824 | Alternative Therapeutic Home Care Inc | Health Maintenance Organization | 427 W 37th Street, Norfolk, VA 23508 | 2010-04-27 |
| 1730402421 | Benjamin Simon Mccarty | Dentist | 1170 Lexan Ave Ste 187, Norfolk, VA 23508 | 2010-03-09 |
| 1174754063 | Dominion Medical Supplies | Durable Medical Equipment & Medical Supplies | 4110 Granby St, Norfolk, VA 23508 | 2009-07-27 |
| 1992767297 | Catherine Jean Mcdonald | Nurse Practitioner | 1618 Pocahontas Drive, Medical Readiness Division, Comnavsurflant, Norfolk, VA 23508 | 2006-04-04 |
| 1265047351 | Taylor Clark | Physical Therapist | 1015 W 47th Street, Norfolk, VA 23508 | 2020-09-15 |
| Find all providers in zip 23508 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750743738 | Erica Muma | Nursing Home Administrator | 13293 Orangewood Dr, Woodbridge, VA 22193-3986 | 2016-03-28 |
| 1174934921 | Nita Davison | Nursing Home Administrator | 1050 Temple Ave, Suite 251, Colonial Heights, VA 23834-2981 | 2014-05-14 |
| 1780822841 | Derrick John Mathis | Nursing Home Administrator | 9827 Sudley Manor Dr, Manassas, VA 20109-6232 | 2009-01-28 |
| 1871046557 | Surjit Singh | Nursing Home Administrator | 8989 Cotswold Dr, Burke, VA 22015-1655 | 2016-07-28 |
| 1083856629 | Marjorie Guerrero Cruz | Nursing Home Administrator | 6490 Wolf Run Shoals Rd, Fairfax Station, VA 22039-1742 | 2009-03-27 |
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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.