ENDEPENDENCE CENTER, INC. (NPI# 1144455064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144455064 |
| Entity Type | Organization |
| Organization Name | ENDEPENDENCE CENTER, INC. |
| Practice Address |
6300 E Virginia Beach Blvd Norfolk VA 23502-2827 |
| Practice Telephone | 7574618007 |
| Practice Fax Number | 7574615375 |
| Mailing Telephone | 7574618007 |
| Mailing Fax Number | 7574615375 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |
| Authorized Official Name | MR. STEPHEN L JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7574618007 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 0087405517 | 05 |
| Street Address |
6300 E VIRGINIA BEACH BLVD |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477079408 | Kids Kin N Caregivers | Voluntary or Charitable | 6300 E Virginia Beach Blvd, Norfolk, VA 23502-2827 | 2017-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790328896 | New Lifestyle Home Healthcare | Case Manager/Care Coordinator | 880 N Military Hwy Ste 1079, Norfolk, VA 23502-3770 | 2019-10-21 |
| 1033672068 | Belovid Home Health Care LLC | Case Manager/Care Coordinator | 450 Peace Haven Dr, Norfolk, VA 23502-5716 | 2019-04-08 |
| 1871946186 | Ryan O'connell | Case Manager/Care Coordinator | 808 E Benjamin Ave Apt 104, Norfolk, NE 68701-6883 | 2016-07-21 |
| 1962852996 | Kylie J Hoff | Case Manager/Care Coordinator | 2405 Belmont Dr, Norfolk, NE 68701-2358 | 2016-06-21 |
| 1154745446 | Thomas Dover Jr. | Case Manager/Care Coordinator | 105 E. Norfolk Ave., Suite 118, Norfolk, NE 68701-4068 | 2014-02-07 |
| 1013330646 | Grace Lippert | Case Manager/Care Coordinator | 123 N 4th St Ste 9, Norfolk, NE 68701-4068 | 2014-02-03 |
| 1467736835 | Wadi De Jesus Acra | Case Manager/Care Coordinator | 5612 Huntington Pl, Norfolk, VA 23509-1419 | 2011-10-04 |
| 1508157025 | Kevin Patras | Case Manager/Care Coordinator | Bhs 900 W. Norfolk, Norfolk, NE 68701-3006 | 2011-05-02 |
| 1780980938 | Laura Marie Petersen | Case Manager/Care Coordinator | 105 E Norfolk Ave Ste 118, Norfolk, NE 68701-5323 | 2011-02-07 |
| 1265657837 | Katie A Perkins | Case Manager/Care Coordinator | 600 S 13th, Norfolk, NE 68701 | 2007-04-17 |
| Find all providers in NORFOLK | ||||
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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.