OUR SUMMER PLACE,LLC (NPI# 1194839704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194839704 |
| Entity Type | Organization |
| Organization Name | OUR SUMMER PLACE,LLC |
| Practice Address |
3511 Blaine St Portsmouth VA 23703-3115 |
| Mailing Address |
Po Box 3221 Portsmouth VA 23701-0221 |
| Practice Telephone | 7574834880 |
| Practice Fax Number | 7574831578 |
| Mailing Telephone | 7579669978 |
| Mailing Fax Number | 7574881008 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MRS. ZATERA A SPENCER (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 7579669978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 558 | VA | Managed Care Organizations |
| Street Address |
3511 BLAINE ST |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23703-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
| 1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
| 1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
| 1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
| 1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
| 1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
| 1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
| 1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
| 1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
| 1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
| Find all providers in zip 23703 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619425725 | Healthness | Point of Service | 20 Harrower Ct, Portsmouth, VA 23701-1525 | 2016-09-18 |
| 1679029466 | Medfres, Inc | Point of Service | 4725 Portsmouth Blvd, Portsmouth, VA 23701-2307 | 2016-08-31 |
| 1417401878 | Magdalena Soutcheva Dmd PC D/b/a Coastal Dental Associates | Point of Service | 2837 Lafayette Rd, Portsmouth, NH 03801-5648 | 2016-08-15 |
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|---|---|---|---|---|
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| 1790309961 | Bode Cellmark Forensics, Inc. | Point of Service | 10430 Furnace Rd Ste 107, Lorton, VA 22079-2626 | 2020-06-03 |
| 1831674365 | Mjl Contractors Inc | Point of Service | 31 Friendly Ct Ste 105, Fredericksburg, VA 22405-2564 | 2018-10-01 |
| 1578060620 | Taylor Construction Services Heating & Air Conditioning, Inc. | Point of Service | 8500 Perrymont Rd, North Chesterfield, VA 23237-2817 | 2018-04-06 |
| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
| 1346798998 | Wyvette Helpers for You | Point of Service | 1122 Stephens St, Martinsville, VA 24112-4100 | 2016-09-13 |
| 1689047771 | Shevon Valentine | Point of Service | 1807 Piney Woods Rd, Lawrenceville, VA 23868 | 2015-11-11 |
| 1366812224 | First Choice Counseling Services, LLC | Point of Service | 2025 E Main St Ste 104, Richmond, VA 23223-7072 | 2015-10-04 |
| 1447634910 | Health & Balance Chiropractic Clinic, LLC | Point of Service | 17 S Randolph St, A, Lexington, VA 24450-2526 | 2015-07-15 |
| 1356730550 | Heart2heart Companion LLC | Point of Service | 14824 Flour Mill Ct, Midlothian, VA 23112-4255 | 2015-01-12 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 23703 |
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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.