INNOVATIVE ENRICHMENT SERVICES, LLC (NPI# 1538678669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538678669 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE ENRICHMENT SERVICES, LLC |
| Other Organization Name | INNOVATIVE ENRICHMENT SERVICES, LLC |
| Practice Address |
4445 Corporation Ln Ste 291 Virginia Beach VA 23462-3262 |
| Mailing Address |
1609 Venetian Way Chesapeake VA 23322-6998 |
| Practice Telephone | 7575765592 |
| Mailing Telephone | 7575765592 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Authorized Official Name | MRS. TEISHA GRANT-STILL (CEO) |
| Authorized Official Telephone | 7575765592 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Innovative Enrichment Services, LLC | Former Legal Business Name - Organization |
| Street Address |
4445 CORPORATION LN STE 291 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-3262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351193 | Maxim Healthcare Services Inc. | Community/Behavioral Health | 293 Independence Blvd Ste 400, Virginia Beach, VA 23462-5461 | 2020-09-17 |
| 1225646490 | Sunshine Behavioral Consulting | Community/Behavioral Health | 6328 Bucknell Cir, Virginia Beach, VA 23464-4420 | 2020-07-14 |
| 1831710524 | Virginia State Properties LLC | Community/Behavioral Health | 509 Pinewood Dr, Virginia Beach, VA 23451-4424 | 2020-05-04 |
| 1659992584 | Leaf Behavior Support LLC | Community/Behavioral Health | 3577 Brannon Dr, Virginia Beach, VA 23456-6913 | 2020-05-01 |
| 1447879887 | Mission United | Community/Behavioral Health | 5632 Old Providence Rd Ste A, Virginia Beach, VA 23464-3967 | 2020-04-15 |
| 1780225698 | Community of Destiny Inc | Community/Behavioral Health | 5040 Va Beach Blvd, Virginia Beach, VA 23462-6637 | 2019-10-02 |
| 1467919894 | 1850 West LLC | Community/Behavioral Health | 3007 Delaware Xing, Virginia Beach, VA 23453-3112 | 2019-02-21 |
| 1154888618 | Beach Behavioral Aba,llc | Community/Behavioral Health | 3100 Poplar Bnd, Virginia Beach, VA 23452-5966 | 2019-02-20 |
| 1881165769 | Rosario Foundation of Life | Community/Behavioral Health | 1838 Bloomfield Dr, Virginia Beach, VA 23453-5524 | 2018-12-17 |
| 1811483464 | Mcclenney Family Values, LLC | Community/Behavioral Health | 612 Thomas Nelson Dr, Virginia Beach, VA 23452-1911 | 2018-07-06 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
Please comment or provide details below to improve the information on INNOVATIVE ENRICHMENT SERVICES, LLC.
| 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.