Asoca

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ASOCA

Practice address

4410 East Claiborne Street, Suite 334
Hampton, VA 23666

Phone

(757) 768-3903

NPI assigned

Oct 25, 2023

Organization subpart

Yes

Parent organization

ASOCAAs reported in NPPES

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

Authorized official

Name

Mrs. Jacqueline Benita Lipford-Rainey

Title

Co-Owner

Phone

(757) 768-3903

Specialties & licenses 1

Addresses

Part of

Asoca

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1225800956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 MARCELLA RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662552",
            "telephone_number": "757-768-3903",
            "fax_number": "757-825-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 EAST CLAIBORNE STREET, SUITE 334",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23666",
            "telephone_number": "757-768-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASOCA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASOCA",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "LIPFORD-RAINEY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "BENITA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "757-768-3903",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hampton, VA
• Providers in Hampton, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.