1629158159 NPI number — CHILD & FAMILY SERVICES OF EASTERN VIRGINIA, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629158159 NPI number — CHILD & FAMILY SERVICES OF EASTERN VIRGINIA, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHILD & FAMILY SERVICES OF EASTERN VIRGINIA, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629158159
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/19/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
222 W 19TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORFOLK
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23517-2218
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-622-7017
Provider Business Mailing Address Fax Number:
757-640-8402

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
222 W 19TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23517-2218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-622-7017
Provider Business Practice Location Address Fax Number:
757-640-8402
Provider Enumeration Date:
10/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
BRENDA
Authorized Official Middle Name:
LUVERNE
Authorized Official Title or Position:
BILLING SUPERVISOR
Authorized Official Telephone Number:
757-622-7017

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1538364179 . This is a "MARY A BRANTLEY - PROVIDER" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1295888501 . This is a "KRISTIN HARDEE-POULIN - PROVIDER" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1689689234 . This is a "FREDRICK D WESTON - PROVIDER" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1285737205 . This is a "GLORIA M SAUNDERS - PROVIDER" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1417028291 . This is a "CONSTANTINA KOUZI" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1215917315 . This is a "JAMES ZELL - PROVIDER" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1033273560 . This is a "J. KELLIE EVANS - PROVIDER" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1194891598 . This is a "ANDREA LONG - PROVIDER" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1487764825 . This is a "DEBORAH LEECY - PROVIDER" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1487840641 . This is a "SHAWN WARE-AVANT - PROVIDER" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com