SHADES OF LIFE HOME CARE SERVICES,LLC (NPI# 1790309540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790309540 |
| Entity Type | Organization |
| Organization Name | SHADES OF LIFE HOME CARE SERVICES,LLC |
| Practice Address |
138 S Rosemont Rd Ste 211 Virginia Beach VA 23452-4336 |
| Mailing Address |
2201 Bagelwood Ct Virginia Beach VA 23456-6897 |
| Practice Telephone | 7576723507 |
| Practice Fax Number | 7572109481 |
| Mailing Telephone | 7576723507 |
| Mailing Fax Number | 7572109481 |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2020-06-07 |
| Authorized Official Name | DR. DIONNE CHOLE GIBBS (ADMINISTRATOR) |
| Authorized Official Telephone | 7576723507 |
| Authorized Official Credential | NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
138 S ROSEMONT RD STE 211 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-4336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| 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 |
| 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 |
| 1780226332 | Safehaven Regional LLC | Home Health | 4663 Haygood Rd Ste 214, Virginia Beach, VA 23455-5442 | 2019-10-16 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
Please comment or provide details below to improve the information on SHADES OF LIFE HOME CARE SERVICES,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.