Organization Active NPI

Reyna Home Care

  • Developmentally Disabled Services Day Training Agency
  • Virginia Beach, VA
National Provider Identifier
1043659378
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1958 Issued in VA
Legal business name
REYNA HOME CARE
Practice address
945 Edwin Dr
Virginia Beach, VA 23464-3066
Phone
(757) 962-4770
Fax
(757) 961-5869
NPI assigned
Jun 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Mr. Reynaldo Mendoza Dela Cruz, MECHANICAL ENGINEER
Title
Administrator / Coo
Phone
(757) 650-5312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1958 VA Primary

Addresses

Primary practice location

945 Edwin Dr
Virginia Beach, VA 23464-3066

Mailing address

5321 Hickory RDG
Virginia Beach, VA 23455-6681
Phone (757) 650-5312

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1043659378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 HICKORY RDG",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556681",
            "telephone_number": "757-650-5312",
            "fax_number": "757-961-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 EDWIN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643066",
            "telephone_number": "757-962-4770",
            "fax_number": "757-961-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_middle_name": "MENDOZA",
        "authorized_official_title_or_position": "ADMINISTRATOR / COO",
        "authorized_official_telephone_number": "757-650-5312",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MECHANICAL ENGINEER"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "1958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.