SearchVirginia3747P1801X

Nikita Banks, CEO

NPI 1306451448 · on the registry since 2020 · sole proprietor

Practice

Address
4665 Haygood Rd Ste 405b
Virginia Beach, VA 23455
Phone
(757) 375-1483
Organisation at this address
Sheltering Arms Residential Llc
Kindhearted Supportive Services Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Also registered as
320900000X
385H00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-05-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia