Healthcare Provider Details

I. General information

NPI: 1518672682
Provider Name (Legal Business Name): EVANGELA'S PRAYING HANDS PERSONAL CARE SERVICES LL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 S MAIN ST STE B
SUFFOLK VA
23434-5428
US

IV. Provider business mailing address

404 S MAIN ST STE B
SUFFOLK VA
23434-5428
US

V. Phone/Fax

Practice location:
  • Phone: 757-285-5840
  • Fax:
Mailing address:
  • Phone: 757-285-5840
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: EVANGELA BEAMON
Title or Position: ADMINISTRATOR
Credential:
Phone: 757-285-5840