Organization Active NPI

Simply Excellence

  • Developmentally Disabled Services Day Training Agency
  • Suffolk, VA
National Provider Identifier
1053193003
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SIMPLY EXCELLENCE
Practice address
5025 Bay Cir
Suffolk, VA 23435-2718
Phone
(480) 319-0043
NPI assigned
Oct 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Shanecka DinkinsNPI 1619755402
Title
Owner
Phone
(480) 319-0043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X

Addresses

Primary practice location

5025 Bay Cir
Suffolk, VA 23435-2718

Mailing address

5025 Bay Cir
Suffolk, VA 23435-2718
Phone (480) 319-0043

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1053193003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 BAY CIR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352718",
            "telephone_number": "480-319-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 BAY CIR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352718",
            "telephone_number": "480-319-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "DINKINS",
        "authorized_official_first_name": "SHANECKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-319-0043"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.