District 19 Community Service Board

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

0002044952 Issued in VA

Legal business name

DISTRICT 19 COMMUNITY SERVICE BOARD

Practice address

1308 Lemonwood Dr
Hopewell, VA 23860-7619

Phone

(804) 541-1829

NPI assigned

May 20, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Eleanor Wilkins Yates

Title

LPN

Phone

(804) 541-1829

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1124347885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 LEMONWOOD DR",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238607619",
            "telephone_number": "804-541-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 LEMONWOOD DR",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238607619",
            "telephone_number": "804-541-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT 19 COMMUNITY SERVICE BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "WILKINS",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "804-541-1829",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0002044952",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "VA",
            "license": "0002044952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David L. Ellis, DDS, LTD
• Janet Reid Dawson, LPC
• Mary Kristine Sungahid Dela Cruz, PT
• Kristin Denise Dibler, MSW
• Brooke Glasscock Dimaio, M.S. OTR/L
• Dr. Ellis & Associates, D.D.S., of Hopewell, PLLC
• Abdul W Durrani, MD
• Anne Eady, PA
• Eagle Eye Cleaning Services
• Holly Edens, PBSF

• Psychiatric Residential Treatment Facility in Hopewell, VA
• Providers in Hopewell, VA by specialty
• Psychiatric Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.