# SHADES OF LIFE HOME CARE SERVICES,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790309540
- **Authorized official:** DR. DIONNE CHOLE GIBBS NURSE (ADMINISTRATOR)
- **Authorized official phone:** (757) 672-3507

## Contact information

- **Practice address:** 138 S ROSEMONT RD STE 211, VIRGINIA BEACH, VA 23452-4336
- **Practice address phone:** (757) 672-3507
- **Practice address fax:** (757) 210-9481
- **Mailing address:** 2201 BAGELWOOD CT, VIRGINIA BEACH, VA 23456-6897
- **Mailing address phone:** (757) 672-3507
- **Mailing address fax:** (757) 210-9481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/07/2020
- **Last updated:** 04/02/2025