HOLIDAY HOUSE OF PORTSMOUTH, INC. (NPI# 1013989276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013989276 |
Entity Type | Organization |
Organization Name | HOLIDAY HOUSE OF PORTSMOUTH, INC. |
Practice Address |
4211 County St Portsmouth VA 23707-2512 |
Practice Telephone | 7573976352 |
Practice Fax Number | 7573992356 |
Mailing Telephone | 7573976352 |
Mailing Fax Number | 7573992356 |
Enumeration Date | 2006-02-02 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. NORMA BATSON MEGILL (BUSINESS MANAGER) |
Authorized Official Telephone | 7573976352 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
Street Address |
4211 COUNTY ST |
City | PORTSMOUTH |
State | VA |
Zip Code | 23707-2512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
Find all providers in zip 23707 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598381758 | Mount Rogers Community Services | Intermediate Care Facility, Mentally Retarded | 56 Carroll House Ln, Hillsville, VA 24343-3648 | 2020-06-23 |
1871123729 | Mount Rogers Community Services | Intermediate Care Facility, Mentally Retarded | 795 Fairview Rd, Wytheville, VA 24382-4501 | 2020-01-20 |
1194379529 | Dignity Care Inc | Intermediate Care Facility, Mentally Retarded | 16654 Bolling Brook Ct, Woodbridge, VA 22191-4583 | 2019-07-24 |
1821657719 | Hampton-newport News Community Services Board | Intermediate Care Facility, Mentally Retarded | 1421 Aberdeen Rd, Hampton, VA 23666-4027 | 2019-06-13 |
1962069054 | Sunny Haven Residental Services | Intermediate Care Facility, Mentally Retarded | 114 Collinswood Dr, Staunton, VA 24401-1988 | 2019-05-23 |
1376042523 | Danville Pittsylvania Community Services | Intermediate Care Facility, Mentally Retarded | 505 Keen St, Danville, VA 24540-4657 | 2018-02-02 |
1588021596 | Future Alliance LLC | Intermediate Care Facility, Mentally Retarded | 6010 N Crestwood Ave, Suite C, Richmond, VA 23230-2200 | 2016-01-21 |
1780052217 | Danville-pittsylvania Community Services | Intermediate Care Facility, Mentally Retarded | 4769 Franklin Tpke, Danville, VA 24540-7807 | 2015-09-15 |
1922415934 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 9332 Burke Rd, Burke, VA 22015-3373 | 2014-07-22 |
1891105607 | Horizon Behavioral Health | Intermediate Care Facility, Mentally Retarded | 101 Avoca Ln, Altavista, VA 24517-1154 | 2014-05-01 |
Find all providers with the same taxonomy |
City | PORTSMOUTH |
Zip Code | 23707 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.