Organization Active NPI

Child of God Group Homesllc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Hampton, VA
National Provider Identifier
1104911122
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
CHILD OF GOD GROUP HOMESLLC
Practice address
633 Ridgeway Ave
Hampton, VA 23661-1413
Phone
(757) 727-7807
Fax
(757) 727-9690
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kendric McKnight
Title
Administrator
Phone
(757) 810-4711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X VA Primary

Addresses

Primary practice location

633 Ridgeway Ave
Hampton, VA 23661-1413

Mailing address

633 Ridgeway Ave
Hampton, VA 23661-1413
Phone (757) 727-7807

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104911122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 RIDGEWAY AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236611413",
            "telephone_number": "757-727-7807",
            "fax_number": "757-727-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 RIDGEWAY AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236611413",
            "telephone_number": "757-727-7807",
            "fax_number": "757-727-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD OF GOD GROUP HOMESLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "KENDRIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-810-4711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.