Healthcare Provider Details

I. General information

NPI: 1760984264
Provider Name (Legal Business Name): YANNI'S ANGELS SUPPORT SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2018
Last Update Date: 09/02/2025
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 LOUDOUN AVE
PORTSMOUTH VA
23707-3217
US

IV. Provider business mailing address

302 GREENFIELD CRES
SUFFOLK VA
23434-4885
US

V. Phone/Fax

Practice location:
  • Phone: 757-292-5376
  • Fax:
Mailing address:
  • Phone: 757-292-5376
  • Fax:

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: APRIL MARIE DAVIS
Title or Position: OWNER
Credential:
Phone: 757-292-5376