Organization Active NPI

St Marys Home for Disabled Children

  • Intellectual Disabilities Intermediate Care Facility
  • Virginia Beach, VA
National Provider Identifier
1235051988
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ST MARYS HOME FOR DISABLED CHILDREN
Practice address
145 S Kentucky Ave
Virginia Beach, VA 23452-2382
Phone
(757) 446-6783
NPI assigned
Jul 27, 2026
Last updated
Jul 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Kenneth Pearl
Title
Cfo
Phone
(757) 446-6783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

145 S Kentucky Ave
Virginia Beach, VA 23452-2382

Mailing address

6171 Kempsville Cir
Norfolk, VA 23502-3930
Phone (757) 446-6783

Other names 1

  • BEACH HOUSE Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2337750St Marys Home the Beach House145 Kentucky Avenue, Virginia Beach, VA 23452Certificate of waiverJan 28, 2028

National Provider Directory

National Provider Directory
Tax ID family
The Albero House4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

6171 Kempsville Cir
Norfolk, VA 23502
Phone (757) 622-2208

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1235051988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6171 KEMPSVILLE CIR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023930",
            "telephone_number": "757-446-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S KENTUCKY AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522382",
            "telephone_number": "757-446-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS HOME FOR DISABLED CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "PEARL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "757-446-6783"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEACH HOUSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.