MEDICARE: GEMS OF LIFE HEALTH CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1164364055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEMS OF LIFE HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	4616 WESTGROVE CT # 104
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-5414
Country	:	US
Telephone Number	:	757-632-6143
Fax Number	:

Provider Business Practice Location Address
First Line	:	4616 WESTGROVE CT # 104
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-5414
Country	:	US
Telephone Number	:	757-632-6143
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VERNITA WALKER
Credential	:
Telephone Number	:	757-632-6143

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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