Organization
ABC SUPPORTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE WIMBISH ADMINTRATOR (CEO)
(757) 679-0654
Entity
Organization
Contact information
Practice address
1499 TIDEWATER DR, NORFOLK, VA 23504-2827
(757) 343-1683
(757) 512-6251
Mailing address
1499 TIDEWATER DR, NORFOLK, VA 23504-2827
(757) 679-0654
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30018295920001
—
VA
01
—
30018295920002
MEDICAIDWIAVER
VA
Enumeration date
05/21/2025
Last updated
01/27/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us