East Coast Human Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EAST COAST HUMAN SERVICES, LLC

Practice address

1761 E Little Creek Rd Apt 201
Norfolk, VA 23518-4213

Phone

(910) 990-6078

NPI assigned

Dec 3, 2016

Organization subpart

No

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

Authorized official

Name

Miss Heather Rose Dixon, B.S.

Title

Chief Executive Officer

Phone

(910) 990-6078

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1480723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480723200000",
    "number": "1154864585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 E LITTLE CREEK RD APT 201",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235184213",
            "telephone_number": "910-990-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 E LITTLE CREEK RD APT 201",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235184213",
            "telephone_number": "910-990-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST HUMAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-03",
        "last_updated": "2016-12-03",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "910-990-6078",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TO BE ESTABLISHED",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; 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.