=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801414198
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JPH ENTERPRISE LLC DBA PREFERRED CARE AT HOME OF VIRGINIA BEACH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/13/2020
-----------------------------------------------------
Last Update Date | 12/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1520 STONEMOSS CT STE 103
-----------------------------------------------------
City | VIRGINIA BEACH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23462-5731
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-355-5080
-----------------------------------------------------
Fax | 757-355-5081
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1520 STONEMOSS CT STE 103
-----------------------------------------------------
City | VIRGINIA BEACH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23462-5731
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-355-5080
-----------------------------------------------------
Fax | 757-355-5081
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. JAMES POINDEXTER HANKINS III
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 757-355-5080
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------