West Petersburg Senior Adult Center

Primary specialty

Child Physical Disabilities Respite CareTaxonomy code 385HR2065X

License

20087298 Issued in VA

Legal business name

WEST PETERSBURG SENIOR ADULT CENTER

Practice address

25720 Greensville Ave
Petersburg, VA 23803-8604

Phone

(804) 861-1452

Fax

(804) 861-8642

NPI assigned

Feb 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Peter R Jeffrey, DMIN

Title

Director

Phone

(804) 861-1452

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1215176565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25720 GREENSVILLE AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238038604",
            "telephone_number": "804-861-1452",
            "fax_number": "804-861-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25720 GREENSVILLE AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238038604",
            "telephone_number": "804-861-1452",
            "fax_number": "804-861-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PETERSBURG SENIOR ADULT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "JEFFREY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-861-1452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMIN"
    },
    "taxonomies": [
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "VA",
            "license": "20087298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20087298",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah J. Webb, CPHT
• Sarah H Webster
• Kalise Ariana Weeks, LPC
• Welcome Home Community Services, LLC
• Shelli M Wenzell, PHARMD
• David Wheeler
• Evelyn V. Whitehead, LPC
• Linda P. Whiteley, NP
• Whole Woman'S Health Alliance
• Boyd Roy Wickizer Jr., M.D.

• Respite Care in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Respite Care in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.