OrganizationActive
Provider Source Home Health Care
NPI 1396330890 · Home Health Agency · Norfolk, VA
Provider Source Home Health Care is a Home Health Agency organization in Norfolk, VA (NPI 1396330890).
Provider details
- NPI number
- 1396330890
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kena Dickens, Administrator(757) 324-2979
Specialties & taxonomies
Agencies
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2211 Pretty Lake Ave Unit 403
Norfolk, VA 23518-1047
Phone: (757) 324-2979
Fax: (757) 257-4575
Street-level locationGet directions
Mailing address
2211 Pretty Lake Ave Unit 403
Norfolk, VA 23518-1047
Registry dates
- Enumerated
- 2021-03-05
- Last updated
- 2021-03-05
- Certified
- 2021-03-05
Frequently asked questions
- What is Provider Source Home Health Care's NPI number?
- Provider Source Home Health Care's National Provider Identifier (NPI) is 1396330890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provider Source Home Health Care?
- Provider Source Home Health Care is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Provider Source Home Health Care located?
- Provider Source Home Health Care's practice location on file with NPPES is 2211 Pretty Lake Ave Unit 403, Norfolk, VA 23518-1047.
- What is Provider Source Home Health Care's phone number?
- The practice phone number listed in the NPPES registry for Provider Source Home Health Care is (757) 324-2979.
- Who is the authorized official for Provider Source Home Health Care?
- The authorized official listed on Provider Source Home Health Care's NPPES record is Kena Dickens, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provider Source Home Health Care's NPI active?
- Yes — Provider Source Home Health Care's NPI (1396330890) is active in the NPPES registry as of the last update on 2021-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.