Healthcare Provider Details

I. General information

NPI: 1356209837
Provider Name (Legal Business Name): BELOVED CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 E LITTLE CREEK RD STE 201-4
NORFOLK VA
23518-3826
US

IV. Provider business mailing address

1150 E LITTLE CREEK RD STE 201-4
NORFOLK VA
23518-3826
US

V. Phone/Fax

Practice location:
  • Phone: 757-574-2114
  • Fax: 757-574-2114
Mailing address:
  • Phone: 757-574-2114
  • Fax: 757-574-2114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: BAMBI JOHNSON
Title or Position: OWNER
Credential:
Phone: 757-574-2114