THERESA'-VENIA, LLC (NPI# 1891863973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891863973 |
| Entity Type | Organization |
| Organization Name | THERESA'-VENIA, LLC |
| Other Organization Name | CORINE'S PLACE |
| Practice Address |
1536 Centre Ave Portsmouth VA 23704-6802 |
| Mailing Address |
4107 Portsmouth Blvd 101-35 Chesapeake VA 23321-2140 |
| Practice Telephone | 7579679545 |
| Mailing Telephone | 7575132074 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LEOLIA BROWN (ADMINISTRATOR EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7575132074 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities | ||
| X | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | TRACKING NO | 0000005002 | 01 |
| Other Name | Type Code |
|---|---|
| Corine's Place | Doing Business As Name - Organization |
| Street Address |
1536 CENTRE AVE |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23704-6802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973588 | Ralpheana Denee Lawton | Clinic/Center | 2317 Richmond Ave, Portsmouth, VA 23704 | 2020-05-12 |
| 1376079186 | Faithful Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1509 Parker Ave, Portsmouth, VA 23704 | 2017-05-11 |
| 1285184168 | Sarah Crawford | Counselor | Harbor Point, 301 Fort Lane, Portsmouth, VA 23704 | 2016-10-04 |
| 1295137560 | Sarah Lee Arnell Rogers | Registered Nurse | 935 Blair Steet, Portsmouth, VA 23704 | 2014-09-18 |
| 1396161212 | Cheryl Denise Mcneil | Home Health | 1416 Portsmouth Boulevard, Portsmouth, VA 23704 | 2014-03-17 |
| 1609173988 | Roberta Marie Hansel-union | Behavioral Analyst | 711 Court Street, Portsmouth, VA 23704 | 2011-02-22 |
| 1447560875 | Denise Anderson Anderson | Licensed Vocational Nurse | 1227 Summit Ave, Portsmouth, VA 23704 | 2010-10-19 |
| 1770890204 | Reymond G. Pascual Md.,pc | Specialist | 704 London Blvd, Portsmouth, VA 23704 | 2010-09-03 |
| 1184820003 | Charles Seth Eisenberg | Internal Medicine | Nmcp Cardiology, 620 John Paul Jones Cir, Portsmouth, VA 23704 | 2007-06-26 |
| 1902028251 | James Bentley Treatment Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1020 Leckie Street, Portsmouth, VA 23704 | 2007-05-03 |
| Find all providers in zip 23704 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841786100 | Horizon Behavioral Health | Intermediate Care Facility, Mental Illness | 999 Lakeview Dr, Lynchburg, VA 24502-2803 | 2018-07-10 |
| 1790158749 | Monica Smith | Intermediate Care Facility, Mental Illness | 220 Brandon Rd, Richmond, VA 23224-1214 | 2015-11-12 |
| 1639513781 | City of Virginia Beach Human Services | Intermediate Care Facility, Mental Illness | 2525 Lifetime Cir, Virginia Beach, VA 23456-1499 | 2013-04-19 |
| 1073796694 | River City Residences, LLC | Intermediate Care Facility, Mental Illness | 10201 Duryea Dr, Richmond, VA 23235-1705 | 2007-12-06 |
| 1447362660 | Commonwealth of Virginia Hiram W Davis Medical Center | Intermediate Care Facility, Mental Illness | Albemarle and 7th Streets, Building 110, Petersburg, VA 23803-0030 | 2006-09-01 |
| 1467475830 | Skyline Terrace Convalescent Home | Intermediate Care Facility, Mental Illness | 123 Lakeview Road, Woodstock, VA 22664-0558 | 2006-07-25 |
| 1376523225 | Hillcrest Nursing Home Inc | Intermediate Care Facility, Mental Illness | 110 Lauck Dr, Winchester, VA 22603-4282 | 2006-01-18 |
| 1073030383 | Lioness Community Care of Virginia LLC | Intermediate Care Facility, Mental Illness | 4445 Corporation Ln, Virginia Beach, VA 23462-3262 | 2017-08-28 |
| 1205165636 | Behavioral Health Arlington County Dhs | Intermediate Care Facility, Mental Illness | 1725 N George Mason Dr, Arlington, VA 22205-3675 | 2009-12-14 |
| 1316165749 | Crc Health | Intermediate Care Facility, Mental Illness | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 23704 |
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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.