NINE PALMS 1, LLC (NPI# 1881846087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881846087 |
| Entity Type | Organization |
| Organization Name | NINE PALMS 1, LLC |
| Other Organization Name | BROOKSIDE HOME HEALTH, AN AMEDISYS COMPANY |
| Practice Address |
6606 Main St Gloucester VA 23061 |
| Mailing Address |
3854 American Way Suite A Baton Rouge LA 70816-4013 |
| Practice Telephone | 8047581311 |
| Practice Fax Number | 8047588817 |
| Mailing Telephone | 2252922031 |
| Mailing Fax Number | 2252959678 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | MR. PAUL KUSSEROW (CEO) |
| Authorized Official Telephone | 2252922031 |
| Is Organization Subpart | Y |
| Parent Organization Name | NINE PALMS 1, LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1881846087 | 05 |
| Other Name | Type Code |
|---|---|
| Brookside Home Health, an Amedisys Company | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518912377 | Nine Palms 1, LLC | Home Health | 460 Mclaws Cir, Ste 250, Williamsburg, VA 23185-5671 | 2006-05-23 |
| Street Address |
6606 MAIN ST |
| City | GLOUCESTER |
| State | VA |
| Zip Code | 23061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770087546 | Connex Family Services | Behavioral Analyst | 6948 Main Street Ste. 12, Gloucester, VA 23061 | 2018-03-19 |
| 1699278820 | Blake Steagall | Counselor | 7296 York Avenue, Gloucester, VA 23061 | 2018-03-14 |
| 1982103941 | Cathyrn Fields Radford | Speech-Language Pathologist | Page Middle School, 5198 T. C. Walker Road, Gloucester, VA 23061 | 2018-02-06 |
| 1326558727 | Home Care Associates LLC | Technician | 6812 Teagle Lane, Unit 1, Gloucester, VA 23061 | 2017-10-11 |
| 1154847176 | Thorpe Counseling Center | Social Worker | 6486 Main Street, Suite 10, Gloucester, VA 23061 | 2017-08-22 |
| 1215473715 | Christina Vickers | Prevention Professional | 7824 Windy Hill Road, Gloucester, VA 23061 | 2017-01-09 |
| 1487084372 | Debra Leigh Ottarson | Pharmacist | 6634 Jarvis Road, Gloucester, VA 23061 | 2013-11-14 |
| 1114170446 | Riverside Physician Services Inc | Psychiatry & Neurology | 7547 Medial Drive, Suite 1300, Gloucester, VA 23061 | 2008-10-30 |
| 1396909867 | Sandra B Buchheister | Physical Therapist | 6965 Fox Hunt Lane, Suite 201, Gloucester, VA 23061 | 2008-07-15 |
| 1710163084 | Steider & Associates, Pllc | Counselor | 6810 Teagle Lane, Gloucester, VA 23061 | 2008-01-16 |
| Find all providers in zip 23061 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770070518 | Green Heron Solutions Incorporated | Home Health | 45 Magnolia Ave, Gloucester, MA 01930-5131 | 2018-04-17 |
| 1205381423 | 3 Bridges Rural Homecare LLC | Home Health | 6549 Main St, Suite 5, Gloucester, VA 23061-6103 | 2016-08-17 |
| 1609959923 | Hope In Home Care LLC | Home Health | 6762 Main Street, Gloucester, VA 23061 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396578 | Chez-vous Homecare Team | Home Health | 8229 Boone Blvd Ste 380, Vienna, VA 22182-2623 | 2020-11-08 |
| 1285235879 | Amazing Care Home Health Services LLC | Home Health | 13310 Gladehill Rd, Chester, VA 23831-4641 | 2020-11-02 |
| 1770182271 | Acute Medical Group LLC | Home Health | 7535 Little River Tpke Ste 206a, Annandale, VA 22003-2991 | 2020-10-26 |
| 1578162517 | Riverside Health Source LLC | Home Health | 659 Hospital Rd Ste 103a, Tappahannock, VA 22560-7000 | 2020-10-21 |
| 1285233429 | Advance Home Health Services LLC | Home Health | 28 Aiden Dr, Fredericksburg, VA 22406-4348 | 2020-10-20 |
| 1932708278 | Caretrust Home Health | Home Health | 13408 Classic Ct, Woodbridge, VA 22192-4502 | 2020-10-19 |
| 1326646142 | Gilead Healthcare Services, LLC | Home Health | 17378 Sligo Loop, Dumfries, VA 22026 | 2020-10-14 |
| 1568060200 | With Loving Hands LLC | Home Health | 1213 Woodbridge Trl, Virginia Beach, VA 23453-1660 | 2020-10-14 |
| 1356949119 | Virginia Healthcare Home Services | Home Health | 6186 Edsall Rd Apt 147, Alexandria, VA 22304-5888 | 2020-10-14 |
| 1770181802 | Aspiring Angels Home Health Care | Home Health | 6924 Lakeside Ave Ste 300, Henrico, VA 23228-5240 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | GLOUCESTER |
| Zip Code | 23061 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.