PENINSULA AGENCY ON AGING


Address: 739 Thimble Shoals Blvd, Building 1000, Ste 1006, Newport News, VA 23606-3562
Phone: 7578730541

PENINSULA AGENCY ON AGING (NPI# 1134596224) 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) 1134596224
Entity Type Organization
Organization Name PENINSULA AGENCY ON AGING
Practice Address 739 Thimble Shoals Blvd
Building 1000, Ste 1006
Newport News
VA 23606-3562
Practice Telephone 7578730541
Practice Fax Number 7578731437
Mailing Telephone 7578730541
Mailing Fax Number 7578731437
Enumeration Date 2015-08-25
Last Update Date 2015-08-25
Authorized Official Name MR. WILLIAM S MASSEY (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 7578730541
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251V00000X Voluntary or Charitable Agencies
Y 251B00000X Case Management Agencies

Other Provider Identifier

State Issuer Identifier Type Code
VA API 0155129973 01

Office Location

Street Address 739 THIMBLE SHOALS BLVD
BUILDING 1000, STE 1006
City NEWPORT NEWS
State VA
Zip Code 23606-3562

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306891585 Irene Marre-anne White Nurse Practitioner 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3585 2006-05-24
1689028490 Divine Home Care Services, LLC Respite Care 739 Thimble Shoals Blvd, 503, Newport News, VA 23606-3562 2016-04-18
1053726398 New Directions for Broken Families Community/Behavioral Health 739 Thimble Shoals Blvd, Suite 1011-b, Newport News, VA 23606-3562 2014-06-25
1285059519 Jason Jackson Counselor 739 Thimble Shoals Blvd, Newport News, VA 23606-3562 2014-02-24
1285079640 Loretta Anne Dicamillo Nurse Practitioner 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3562 2013-04-30
1023372679 Ajay S Rathore Internal Medicine 739 Thimble Shoals Blvd, Newport News, VA 23606-3562 2012-06-28
1083867691 Riverside Physician Services Inc Internal Medicine 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3562 2008-10-28
1952563454 Ramchandur Bakhtiani Internal Medicine 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3562 2008-06-26
1942417183 Melisha Bissram Internal Medicine 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3562 2007-05-17
1285746735 Rai Care Centers of Virginia I, LLC Clinic/Center 739 Thimble Shoals Blvd, Ste 600, Newport News, VA 23606-3562 2006-08-31
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NPI Name Taxonomy Address Enumeration
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1730651282 Asia Denise Gordon Family Medicine 12715 Warwick Blvd # M&o, Newport News, VA 23606 2018-12-21
1447732870 Jean Ann Kimbrel Counselor 105 Nat Turner Blvd, Newport News, VA 23606 2018-09-01
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1447753959 Milov Margaret Sonnier Social Worker 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 2018-03-10
1033627740 F&n Home Health Agency, LLC Home Health 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 2018-01-16
1962858944 Helen G Arnold Family Medicine 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 2016-05-10
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Taxonomy Information

Taxonomy Code 251B00000X
Grouping Agencies
Classification Case Management

Taxonomy Definition

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144868811 Nicole Lloyd-harden Case Management 407 Flowers Ter, Newport News, VA 23608-1590 2019-12-12
1740641596 Tonika Downing Case Management 122 Clipper Dr, Newport News, VA 23602-6340 2016-03-08
1699073718 Brennsyl Case Management 514 Parliament Ln, Newport News, VA 23608-4906 2011-03-14
1215263629 Village Restoration Case Management 550 Denbigh Blvd, Newport News, VA 23608-4240 2009-10-20
1578651501 Family Redirection Institute, Inc. Case Management 13195 Warwick Blvd Ste 2c, Newport News, VA 23602-8313 2006-10-11
1497395479 The Lloygroup LLC Case Management 407 Flowers Ter, Newport News, VA 23608-1590 2020-01-08

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1962020826 Amherst County Public Schools Case Management 153 Washington Street, Amherst, VA 24521 2020-07-08
1396362851 Melissa Beatty-warso Case Management 49 Farmstead Dr, Cumberland, VA 23040-2659 2020-07-01
1730703521 Excellent Care Residential Services LLC Case Management 6400 Rivington Rd, Springfield, VA 22152-2912 2020-06-08
1932721164 Tabitha M Goode Case Management 4123 Bollinger Dr, South Chesterfield, VA 23803-2507 2020-05-11
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Competitor

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City NEWPORT NEWS
Zip Code 23606

Improve Information

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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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