Active NPI
Outreach Training and Support Services
- Developmentally Disabled Services Day Training Agency
- Chester, VA
National Provider Identifier
1154574184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 1147
- Legal business name
- OUTREACH TRAINING AND SUPPORT SERVICES
- Practice address
- 610 W Hundred Rd Ste a
Chester, VA 23836-2519 - Phone
- (804) 715-4198
- Fax
- (804) 715-4199
- NPI assigned
- Nov 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberlyn Brown
- Title
- Ceo
- Phone
- (804) 479-9217
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 1147 | VA | Primary |
Addresses
Primary practice location
610 W Hundred Rd Ste a
Chester, VA 23836-2519
Mailing address
610 W Hundred Rd Ste a
Chester, VA 23836-2519
Phone (804) 715-4198
National Provider Directory
National Provider DirectoryLocations
610 W Hundred Rd
Ste A
Chester, VA 23836
Phone (804) 715-4198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226016000000",
"number": "1154574184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 W HUNDRED RD STE A",
"city": "CHESTER",
"state": "VA",
"postal_code": "238362519",
"telephone_number": "804-715-4198",
"fax_number": "804-715-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 W HUNDRED RD STE A",
"city": "CHESTER",
"state": "VA",
"postal_code": "238362519",
"telephone_number": "804-715-4198",
"fax_number": "804-715-4199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUTREACH TRAINING AND SUPPORT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-04",
"last_updated": "2008-11-07",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "KIMBERLYN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "804-479-9217",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "VA",
"license": "1147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.