BETHEL SKILLED HEALTH CARE LLC
NPI 1003439472
Nurse Practitioner - Primary Care in Colonial Heights, VA

Active since May 20, 2020
3611 BOULEVARD, COLONIAL HEIGHTS, VA 23834(571) 523-5479 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2026, Dec 18, 2021, Oct 4, 2021 and 2 more (5 updates tracked since 2020).

About Bethel Skilled Health Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHEL SKILLED HEALTH CARE LLC (NPI 1003439472), doing business as Bethel Skilled Home Care Llc, is a healthcare organization registered as a primary care in Colonial Heights, Virginia and active in the NPI registry since May 2020. The organization maintains a secondary practice location in Midlothian and lists Jessy Nwuba, Administrator/owner, as its authorized official.

NPPES Registry Identity

NPI1003439472
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameBETHEL SKILLED HEALTH CARE LLC
Location Address3611 BOULEVARDColonial Heights, VA 23834-1344
Mailing Address14407 Justice RdMidlothian, VA 23113-6875 · (804) 274-0262 · Fax (804) 374-8889
Organization SubpartNo
Authorized OfficialJessy NwubaAdministrator/owner · (571) 523-5479
Enumeration DateMay 20, 2020
Last NPPES UpdateJune 3, 20265 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
NPI 1003439472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
3611 BOULEVARD, Colonial Heights, VA 23834

Other Names 1

Doing Business AsBethel Skilled Home Care Llc

Secondary Practice Location 1

Location 114407 Justice RdMidlothian, VA 23113-6875 · Phone (804) 274-0262

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3611 BOULEVARD
COLONIAL HEIGHTS, VA 23834
Nurse Practitioner (Psychiatric/Mental Health)
3611 BOULEVARD
COLONIAL HEIGHTS, VA 23834
Occupational Therapist
3611 BOULEVARD
COLONIAL HEIGHTS, VA 23834
Nurse Practitioner (Psychiatric/Mental Health)
3611 BOULEVARD
COLONIAL HEIGHTS, VA 23834
Nurse Practitioner (Psychiatric/Mental Health)
3611 BOULEVARD
COLONIAL HEIGHTS, VA 23834
Nurse Practitioner (Psychiatric/Mental Health)
3611 BOULEVARD
COLONIAL HEIGHTS, VA 23834
Nurse Practitioner (Psychiatric/Mental Health)
3611 BOULEVARD
COLONIAL HEIGHTS, VA 23834
Nurse Practitioner (Psychiatric/Mental Health)
3611 BOULEVARD
COLONIAL HEIGHTS, VA 23834

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethel Skilled Health Care LLC's NPI number?

The NPI number for Bethel Skilled Health Care LLC is 1003439472. It was assigned to this organization in the NPPES registry on May 20, 2020. The provider is doing business as Bethel Skilled Home Care LLC.

Where is Bethel Skilled Health Care LLC located?

Bethel Skilled Health Care LLC is located at 3611 Boulevard, Colonial Heights, VA 23834. The listed phone number is (571) 523-5479.

What is Bethel Skilled Health Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Bethel Skilled Health Care LLC was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.