PC Industries

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

PC INDUSTRIES

Practice address

1021 Executive Blvd
Suite 100
Chesapeake, VA 23320-3665

Phone

(757) 382-7111

Fax

(757) 382-0111

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kaye O. Crenshaw

Title

President

Phone

(804) 231-7774

Specialties & licenses 1

Addresses

Other names 1

• Mobility Center of VA Doing business as

Tax ID family

Mobility Center of VA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• PC Industries Inc

  • Customized Equipment (DME)
  • Richmond, VA
  • NPI 1972618114
  NPD tax ID

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154433654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 EXECUTIVE BLVD",
            "address_2": "SUITE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203665",
            "telephone_number": "757-382-7111",
            "fax_number": "757-382-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 EXECUTIVE BLVD",
            "address_2": "SUITE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203665",
            "telephone_number": "757-382-7111",
            "fax_number": "757-382-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "KAYE",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-231-7774",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility Center of VA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina Marie Pavese, PHARM D
• Leslie Pavlinac, MS, CCC-SLP
• Gary Payman, M.D.
• Courtney Payne, PHARMD
• Aeriel Payton, PMHNP-BC
• Peace in Life, LLC.
• Peace of Mind Behavioral Health LLC
• Peace of Mind Home Care Agency, LLC
• Peacedrapha Healthcare Corporation
• Peak Wellness and Aesthetics LLC

• Customized Equipment (DME) in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Customized Equipment (DME) in Virginia

• 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.