Healthcare Provider Details

I. General information

NPI: 1861164527
Provider Name (Legal Business Name): AARONS ANGEL'S OF BLESSINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2021
Last Update Date: 11/29/2024
Certification Date: 11/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 TURLINGTON RD APT 24
NEWPORT NEWS VA
23606-2435
US

IV. Provider business mailing address

4722 MADISON AVE
NEWPORT NEWS VA
23607-2136
US

V. Phone/Fax

Practice location:
  • Phone: 757-327-8627
  • Fax:
Mailing address:
  • Phone: 757-279-8524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHATERA EASON
Title or Position: LPN
Credential:
Phone: 757-327-8627