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General NPI Number Information
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NPI Number | 1922796762
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Entity Type | Organization
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Legal Business Name | REIGNING IVORY HEALTHCARE
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 509 OLD GREAT NECK RD STE 101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3358
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Country | US
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Telephone | 757-805-5500
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Fax | 757-720-3606
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Provider Business Mailing Address
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Address Line | 509 OLD GREAT NECK RD STE 101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3358
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Country | US
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Telephone | 757-805-5500
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Fax | 757-720-3606
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Authorized Official
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Title or Position | CEO/OWNER
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Name | JEWEL SYLVESTER
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Credential | FNP-BC
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Telephone | 757-805-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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