NPIMap

Organization Active NPI

James Bentley Treatment Program

  • In Home Supportive Care Agency
  • Portsmouth, VA
National Provider Identifier
1003141227
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
78205001 Issued in VA
Legal business name
JAMES BENTLEY TREATMENT PROGRAM
Practice address
1020 Leckie St
Portsmouth, VA 23704-1904
Phone
(757) 399-4742
Fax
(757) 673-7965
NPI assigned
Oct 6, 2009
Organization subpart
Yes
Parent organization
JAMES BENTLEY INTENSIVE IN-HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandra Pinnock
Title
Director
Phone
(757) 399-4742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 78205001 VA Primary

Addresses

Primary practice location

1020 Leckie St
Portsmouth, VA 23704-1904

Mailing address

1020 Leckie St
Portsmouth, VA 23704-1904
Phone (757) 399-4742

Other identifiers 1

IdentifierTypeStateIssuer
78205001MedicaidVA

Other names 1

  • James Bentley Intensive In-Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
James Bentley Treatment Program5 organizations share this tax ID, including this one
Part of
James Bentley Treatment Program

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1003141227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LECKIE ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237041904",
            "telephone_number": "757-399-4742",
            "fax_number": "757-673-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LECKIE ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237041904",
            "telephone_number": "757-399-4742",
            "fax_number": "757-673-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES BENTLEY TREATMENT PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAMES BENTLEY INTENSIVE IN-HOME",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "PINNOCK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-399-4742"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "78205001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78205001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James Bentley Intensive In-Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.