HAMPTON-NEWPORT NEWS COMMUNITY SERVICES BOARD (NPI# 1821657719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821657719 |
| Entity Type | Organization |
| Organization Name | HAMPTON-NEWPORT NEWS COMMUNITY SERVICES BOARD |
| Practice Address |
1421 Aberdeen Rd Hampton VA 23666-4027 |
| Mailing Address |
300 Medical Dr Hampton VA 23666-1765 |
| Practice Telephone | 7572512244 |
| Practice Fax Number | 7572244950 |
| Mailing Telephone | 7577880300 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | YAISA ONIKA GOODWIN (CREDENTIALING/PROCUREMENT COORDINAT) |
| Authorized Official Telephone | 7577880065 |
| Is Organization Subpart | Y |
| Parent Organization Name | HAMPTON-NEWPORT NEWS COMMUNITY SERVICES BOARD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1659424448 | 05 |
| Other Name | Type Code |
|---|---|
| Aberdeen ICF | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679774293 | Hampton-newport News Community Services Board | Community/Behavioral Health | 2712 Washington Ave, Newport News, VA 23607-3920 | 2007-05-30 |
| 1821299876 | Hampton-newport News Community Services Board | Community/Behavioral Health | 2244 Executive Dr, Suite A, Hampton, VA 23666-2430 | 2007-05-29 |
| 1851502777 | Hampton-newport News Community Services Board | Community/Behavioral Health | 2600 Washington Ave, 5th Floor, Newport News, VA 23607-4317 | 2007-05-24 |
| 1376617415 | Hampton-newport News Community Services Board | Counselor | 2351 Terminal Ave, Newport News, VA 23607-4523 | 2006-11-20 |
| 1437221298 | Hampton-newport News Community Services Board | Community/Behavioral Health | 600 Medical Dr, Suite A, Hampton, VA 23666-1769 | 2006-11-15 |
| 1598837502 | Hampton-newport News Community Services Board | Community/Behavioral Health | 400 Medical Dr, Hampton, VA 23666-1767 | 2006-11-14 |
| 1265501456 | Hampton-newport News Community Services Board | Community/Behavioral Health | 200 Medical Dr, Suite A, Hampton, VA 23666-1763 | 2006-11-06 |
| 1023104221 | Hampton-newport News Community Services Board | Community/Behavioral Health | 200 Medical Dr, Suite B, Hampton, VA 23666-1763 | 2006-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | HAMPTON-NEWPORT NEWS COMMUNITY SERVICES BOARD PROPERTY COMPANY INC. | 300 Medical Dr, Hampton, Virginia 23666 |
| Street Address |
1421 ABERDEEN RD |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649315011 | Versability Resources, Inc. | Intermediate Care Facility, Mentally Retarded | 2520 58th Street, Hampton, VA 23661-1228 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598381758 | Mount Rogers Community Services | Intermediate Care Facility, Mentally Retarded | 56 Carroll House Ln, Hillsville, VA 24343-3648 | 2020-06-23 |
| 1871123729 | Mount Rogers Community Services | Intermediate Care Facility, Mentally Retarded | 795 Fairview Rd, Wytheville, VA 24382-4501 | 2020-01-20 |
| 1194379529 | Dignity Care Inc | Intermediate Care Facility, Mentally Retarded | 16654 Bolling Brook Ct, Woodbridge, VA 22191-4583 | 2019-07-24 |
| 1962069054 | Sunny Haven Residental Services | Intermediate Care Facility, Mentally Retarded | 114 Collinswood Dr, Staunton, VA 24401-1988 | 2019-05-23 |
| 1376042523 | Danville Pittsylvania Community Services | Intermediate Care Facility, Mentally Retarded | 505 Keen St, Danville, VA 24540-4657 | 2018-02-02 |
| 1588021596 | Future Alliance LLC | Intermediate Care Facility, Mentally Retarded | 6010 N Crestwood Ave, Suite C, Richmond, VA 23230-2200 | 2016-01-21 |
| 1780052217 | Danville-pittsylvania Community Services | Intermediate Care Facility, Mentally Retarded | 4769 Franklin Tpke, Danville, VA 24540-7807 | 2015-09-15 |
| 1922415934 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 9332 Burke Rd, Burke, VA 22015-3373 | 2014-07-22 |
| 1891105607 | Horizon Behavioral Health | Intermediate Care Facility, Mentally Retarded | 101 Avoca Ln, Altavista, VA 24517-1154 | 2014-05-01 |
| 1386072148 | Horizon Behavioral Health | Intermediate Care Facility, Mentally Retarded | 527 Riverview Road, Madison Heights, VA 24572-3728 | 2013-10-14 |
| Find all providers with the same taxonomy | ||||
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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.