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).
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. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 990 | VA | Agencies |
Other Name | Type Code |
---|---|
Intensive In-home Counseling Division | Doing Business As Name - Organization |
Street Address |
6060 JEFFERSON AVE SUITE 9003 |
City | NEWPORT NEWS |
State | VA |
Zip Code | 23605-3014 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104165703 | First Choice Companion Service, LLC | In Home Supportive Care | 709 Austin Court, Newport News, VA 23605 | 2013-02-04 |
1679869036 | Sailaja Dandamudi | Internal Medicine | 48 New Market Square, Jencare Neighborhood Medical New Market, LLC, Newport News, VA 23605 | 2011-06-23 |
1619261633 | Pmr Meds | Specialist | 48 Newmarket Square, Newport News, VA 23605 | 2011-06-07 |
1316105968 | Mila-jane Lovejoy | Pharmacist | 6111 Jefferson Ave, Newport News, VA 23605 | 2008-05-30 |
1073660189 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 100 New Market Drive North, Hampton, VA 23605 | 2007-01-04 |
1558702159 | Olisaemeka Ifejika Achike | Internal Medicine | 48 Newmarket Sq, Newport News, VA 23605 | 2013-07-11 |
1710220132 | Ashly Nicole Hardin | Family Medicine | 48 Newmarket Sq, Newport News, VA 23605 | 2013-04-03 |
1366786774 | Wal-mart Stores East Lp | Technician/Technologist | 6111 Jefferson Ave, Newport News, VA 23605 | 2012-11-26 |
1518222785 | Claire Han Li | Internal Medicine | 48 New Market Square, Jencare Neighborhood Medical New Market, LLC, Newport News, VA 23605 | 2012-07-12 |
1396016838 | Chang O Son | Internal Medicine | 48 New Market Square, Jencare Neighborhood Medical New Market, LLC, Newport News, VA 23605 | 2012-01-13 |
Find all providers in zip 23605 |
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] |
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1881136059 | Looseleaf Clinical Consulting | Community/Behavioral Health | 685 Turnberry Blvd, #14774, Newport News, VA 23608-0290 | 2016-11-04 |
1255885323 | Holistic Services LLC | Community/Behavioral Health | 777 J Clyde Morris Blvd, Newport News, VA 23601-1513 | 2016-08-06 |
1124471750 | Children of The Kingdom Family Support Srrvices LLC | Community/Behavioral Health | 610 Thimble Shoals Blvd Ste 201d, Newport News, VA 23606-4510 | 2016-07-19 |
Find all providers in NEWPORT NEWS |
City | NEWPORT NEWS |
Zip Code | 23605 |
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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.