VA'S Heart LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

VA'S HEART LLC

Practice address

3458 Twenty-Two Rd
Pamplin, VA 23958

Phone

(757) 375-7287

NPI assigned

Apr 15, 2021

Organization subpart

No

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

Authorized official

Name

Thea Williams

Title

Cei

Phone

(757) 375-7287

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1144801879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3458 TWENTY-TWO RD",
            "city": "PAMPLIN",
            "state": "VA",
            "postal_code": "23958",
            "telephone_number": "757-375-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3458 TWENTY-TWO RD",
            "city": "PAMPLIN",
            "state": "VA",
            "postal_code": "23958",
            "telephone_number": "757-375-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA'S HEART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THEA",
        "authorized_official_title_or_position": "CEI",
        "authorized_official_telephone_number": "757-375-7287"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "999999999",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "3458 Twenty-Two Rd",
            "city": "Pamplin",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• On the Level Construction, LLC
• Pamplin Volunteer Fire Department and EMS Inc
• Providential Cares, LLC
• Brandon Scott, LAT, ATC
• Rachel Greenway Thompson, CPM
• Lewis Watson Sr.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pamplin, VA
• Providers in Pamplin, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.