Organization Active NPI

Stellar Hearts Community Services, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Norfolk, VA
National Provider Identifier
1023611522
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
STELLAR HEARTS COMMUNITY SERVICES, LLC
Practice address
1882 Brookwood Rd
Norfolk, VA 23518-3126
Phone
(757) 419-1030
Fax
(757) 610-9531
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Micheal Brownson
Title
Executive Director
Phone
(757) 419-1030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1882 Brookwood Rd
Norfolk, VA 23518-3126

Mailing address

1882 Brookwood Rd
Norfolk, VA 23518-3126
Phone (757) 419-1030

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1023611522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 BROOKWOOD RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235183126",
            "telephone_number": "757-419-1030",
            "fax_number": "757-610-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 BROOKWOOD RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235183126",
            "telephone_number": "757-419-1030",
            "fax_number": "757-610-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR HEARTS COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "BROWNSON",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-419-1030"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.