NPIMap

Organization Active NPI

Integrated Enrichment Incorporated

  • Adult Companion
  • Long Island, VA
National Provider Identifier
1063004422
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
INTEGRATED ENRICHMENT INCORPORATED
Practice address
328 Wyatts Rd
Long Island, VA 24569-2642
Phone
(434) 709-8317
NPI assigned
Feb 8, 2021
Last updated
Feb 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Nicholas O'Nelius SlaytonNPI 1659207223
Title
Ceo
Phone
(434) 709-8317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X Primary

Addresses

Primary practice location

328 Wyatts Rd
Long Island, VA 24569-2642

Mailing address

328 Wyatts Rd
Long Island, VA 24569-2642
Phone (434) 709-8317

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1063004422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 WYATTS RD",
            "city": "LONG ISLAND",
            "state": "VA",
            "postal_code": "245692642",
            "telephone_number": "434-709-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 WYATTS RD",
            "city": "LONG ISLAND",
            "state": "VA",
            "postal_code": "245692642",
            "telephone_number": "434-709-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED ENRICHMENT INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "SLAYTON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "O'NELIUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "434-709-8317"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.