Organization Active NPI

Colorful Beginnings Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Suffolk, VA
National Provider Identifier
1073246740
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
COLORFUL BEGINNINGS SERVICES LLC
Practice address
128 Independence CT
Suffolk, VA 23434-2369
Phone
(757) 209-1060
Fax
(757) 922-8082
NPI assigned
Jul 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Mr. Clarence Lorenzo MayoNPI 1962821611
Title
Owner/Ceo
Phone
(757) 209-1060

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 1

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

Addresses

Primary practice location

128 Independence CT
Suffolk, VA 23434-2369

Mailing address

128 Independence CT
Suffolk, VA 23434-2369
Phone (757) 209-1060

Other identifiers 1

IdentifierTypeStateIssuer
3584MedicaidVA

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": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1073246740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 INDEPENDENCE CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234342369",
            "telephone_number": "757-209-1060",
            "fax_number": "757-922-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 INDEPENDENCE CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234342369",
            "telephone_number": "757-209-1060",
            "fax_number": "757-922-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORFUL BEGINNINGS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "LORENZO",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "757-209-1060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3584",
            "state": "VA"
        }
    ],
    "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 Jul 8, 2022; 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.