SENTARA ENTERPRISES (NPI# 1831414192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831414192 |
| Entity Type | Organization |
| Organization Name | SENTARA ENTERPRISES |
| Other Organization Name | SENTARA HOME CARE SERVICES |
| Practice Address |
3800 Fettler Park Dr Ste 102 Dumfries VA 22025-2045 |
| Mailing Address |
535 Independence Pkwy Suite 200 Chesapeake VA 23320-5176 |
| Practice Telephone | 5712851820 |
| Practice Fax Number | 5716590697 |
| Mailing Telephone | 7575533000 |
| Mailing Fax Number | 7573824957 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | TERESA EDWARDS (PRESIDENT) |
| Authorized Official Telephone | 7575533000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1831414192 | 05 |
| Other Name | Type Code |
|---|---|
| Sentara Home Care Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659911501 | Sentara Enterprises | Home Health | 2200 Wilborn Ave, South Boston, VA 24592-1645 | 2020-01-08 |
| 1851869051 | Sentara Enterprises | Clinic/Center | 535 Independence Pkwy Ste 200, Chesapeake, VA 23320-5176 | 2018-11-06 |
| 1710425152 | Sentara Enterprises | Home Health | 535 Independence Pkwy Ste 100, Chesapeake, VA 23320-5176 | 2017-02-06 |
| 1750829164 | Sentara Enterprises | Home Health | 5360 Discovery Park Blvd Ste 200, Williamsburg, VA 23188-2860 | 2017-02-06 |
| 1487958484 | Sentara Enterprises | Hospice Care, Community Based | 2000 Beery Road, Harrisonburg, VA 22801-9660 | 2011-01-05 |
| 1194028803 | Sentara Enterprises | Home Health | 871 Martin Luther King Jr Way Ste 201, Harrisonburg, VA 22801-3277 | 2010-12-20 |
| 1154482313 | Sentara Enterprises | Hospice Care, Community Based | 11844 Rock Landing Dr Ste C, Newport News, VA 23606 | 2006-12-12 |
| 1548335797 | Sentara Enterprises | Durable Medical Equipment & Medical Supplies | 6623 Richmond Rd, Suite J, Williamsburg, VA 23188-7589 | 2006-11-22 |
| 1992741060 | Sentara Enterprises | Home Health | 535 Independence Pkwy, Suite 200, Chesapeake, VA 23320-5176 | 2006-06-20 |
| 1992745343 | Sentara Enterprises | Home Health | 426 Mcarthur Dr Ste B, Elizabeth City, NC 27909-4577 | 2006-06-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Sentara Enterprises | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Street Address |
3800 FETTLER PARK DR STE 102 |
| City | DUMFRIES |
| State | VA |
| Zip Code | 22025-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622230 | Joanne Perdu-ouimet | Behavioral Analyst | Incredible Changes, 4191 Waterway Dr., Dumfries, VA 22025 | 2020-09-04 |
| 1194287524 | Above and Beyond Therapy LLC | Speech-Language Pathologist | 15389 Autum Ln, Dumfries, VA 22025 | 2019-04-04 |
| 1669954095 | Renee L Roberts | Registered Nurse | 4222 Fortuna Center Plaza Ste 280, Dumfries, VA 22025 | 2018-09-01 |
| 1689044869 | Tracy Agyeman-badu | Pharmacist | 4310 Fortuna Village Center Plaza, Dumfries, VA 22025 | 2015-10-01 |
| 1588054316 | Tiffany Washington | Pharmacy Technician | 16224 Taconic Cir, Dumfries, VA 22025 | 2015-02-02 |
| 1568706158 | Boulevard Center Pediatrics | Pediatrics | 3733 Fettler Park Dr., Dumfries, VA 22025 | 2012-11-20 |
| 1205111796 | Khanh T Le | Pharmacist | 17506 Cajun Ct, Dumfries, VA 22025 | 2011-10-15 |
| 1679737761 | Shailesh K Gohel | Pediatrics | 3733 Fettler Park Dr, Dumfries, VA 22025 | 2008-07-17 |
| 1376616268 | Douglas Kendrick Chan | Physical Therapist | 3767 Fettler Park Drive, Dumfries, VA 22025 | 2006-11-16 |
| 1861596454 | Paul Wells Conrad | Dentist | 16150 Country Club Drive, Dumfries, VA 22025 | 2006-09-12 |
| Find all providers in zip 22025 | ||||
| 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 |
|---|---|---|---|---|
| 1326646142 | Gilead Healthcare Services, LLC | Home Health | 17378 Sligo Loop, Dumfries, VA 22026 | 2020-10-14 |
| 1124643374 | Divine Global Health Services LLC | Home Health | 2938 Myrtlewood Dr, Dumfries, VA 22026-4534 | 2020-06-13 |
| 1205483468 | Theresa Nix | Home Health | 3025 Sassafras Tree Ct, Dumfries, VA 22026-3381 | 2019-08-22 |
| 1184195810 | Authentic Home Healthcare and Nursing Solutions LLC | Home Health | 17985 Dumfries Shopping Plz Ste 201b, Dumfries, VA 22026-2396 | 2018-12-06 |
| 1578076279 | Helping Hands Family Services | Home Health | 3313 William Johnston Ln Apt 34, Dumfries, VA 22026-2154 | 2017-11-16 |
| 1134642358 | Next Mission Home Care LLC | Home Health | 17321 Jefferson Davis Hwy Ste 311, Dumfries, VA 22026-2271 | 2017-07-19 |
| 1609325414 | Primecare Inc | Home Health | 18027 Dumfries Shopping Plz, Suite 5, Dumfries, VA 22026-2356 | 2016-09-22 |
| 1356792329 | Sunshine Quality Healthcare, LLC | Home Health | 17945 Curtis Dr, Dumfries, VA 22026-2418 | 2016-06-30 |
| 1518208388 | Cbn Healthcare Services Inc | Home Health | 17650 Possum Point Rd, Suite C4, Dumfries, VA 22026-2674 | 2013-03-04 |
| 1306144233 | Best Hope Home Healthcare LLC | Home Health | 17932 Fraley Blvd, Ste 400-e, Dumfries, VA 22026-2485 | 2011-03-01 |
| Find all providers in DUMFRIES | ||||
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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.