INTENSIVE IN-HOME COUNSELING AND MENTORING DIVISION, LP.


Address: 6060 Jefferson Ave, Suite 9003, Newport News, VA 23605-3014
Phone: 7577063382

INTENSIVE IN-HOME COUNSELING AND MENTORING DIVISION, LP. (NPI# 1790016863) 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) 1790016863
Entity Type Organization
Organization Name INTENSIVE IN-HOME COUNSELING AND MENTORING DIVISION, LP.
Other Organization Name INTENSIVE IN-HOME COUNSELING DIVISION
Practice Address 6060 Jefferson Ave
Suite 9003
Newport News
VA 23605-3014
Practice Telephone 7577063382
Practice Fax Number 7577063383
Mailing Telephone 7577063382
Mailing Fax Number 7577063383
Enumeration Date 2010-01-28
Last Update Date 2010-01-28
Authorized Official Name PATRICE MUHAMMAD (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7577063382
Is Organization Subpart Y
Parent Organization Name DESTINY'S HOUSE RESIDENTIAL SERVICES, LLC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 990 VA Agencies

Other Provider/Organization Names

Other Name Type Code
Intensive In-home Counseling Division Doing Business As Name - Organization

Office Location

Street Address 6060 JEFFERSON AVE
SUITE 9003
City NEWPORT NEWS
State VA
Zip Code 23605-3014

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144554007 Destiny's House Intensive In-home In Home Supportive Care 6060 Jefferson Ave, Ste 9003, Newport News, VA 23605-3014 2009-09-25
1831530765 Destinys Supportive In-home Services Community/Behavioral Health 6060 Jefferson Ave, Suite 9003, Newport News, VA 23605-3014 2013-07-08
1457791840 Peaceful Solutions Counseling Services Community Based Residential Treatment Facility, Mental Illness 6060 Jefferson Ave, Suite 9003, Newport News, VA 23605-3014 2013-06-28
1184910978 Unison Mental Health Services, Inc. Community/Behavioral Health 6060 Jefferson Ave, Suite 9003, Newport News, VA 23605-3014 2011-06-21

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

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Competitor

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City NEWPORT NEWS
Zip Code 23605

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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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