Healthcare Provider Details

I. General information

NPI: 1154058402
Provider Name (Legal Business Name): HAMPTON ROADS HEALTH AND WELLNESS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2022
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 KEMPSVILLE RD
NORFOLK VA
23502-3800
US

IV. Provider business mailing address

885 KEMPSVILLE RD STE 224
NORFOLK VA
23502-3800
US

V. Phone/Fax

Practice location:
  • Phone: 757-271-4049
  • Fax:
Mailing address:
  • Phone: 757-271-4049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KATINA KNIGHT
Title or Position: OWNER/OPERATOR
Credential: FNP-C
Phone: 757-752-1500