HOLIDAY HOUSE OF PORTSMOUTH, INC.


Address: 4211 County St, Portsmouth, VA 23707-2512
Phone: 7573976352

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities

Office Location

Street Address 4211 COUNTY ST
City PORTSMOUTH
State VA
Zip Code 23707-2512

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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
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(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).

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1598381758 Mount Rogers Community Services Intermediate Care Facility, Mentally Retarded 56 Carroll House Ln, Hillsville, VA 24343-3648 2020-06-23
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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
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Competitor

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City PORTSMOUTH
Zip Code 23707

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Dataset Information

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.

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