Active NPI
Nanas House Newport News
- Substance Use Disorder Rehabilitation Clinic/Center
- Newport News, VA
National Provider Identifier
1235674151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 2370-02-001
- Legal business name
- NANAS HOUSE NEWPORT NEWS
- Practice address
- 2706 Marshall Ave
Newport News, VA 23607-4120 - Phone
- (757) 247-6472
- NPI assigned
- Jan 1, 2017
- 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
- Ben Tynes, MBA/CPHIMS
- Title
- Founder
- Phone
- (240) 281-7653
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 2370-02-001 | VA | Primary |
Addresses
Primary practice location
2706 Marshall Ave
Newport News, VA 23607-4120
Mailing address
2706 Marshall Ave
Newport News, VA 23607-4120
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483228800000",
"number": "1235674151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 MARSHALL AVE",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236074120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 MARSHALL AVE",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236074120",
"telephone_number": "757-247-6472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANAS HOUSE NEWPORT NEWS",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-01",
"last_updated": "2017-01-01",
"status": "A",
"authorized_official_last_name": "TYNES",
"authorized_official_first_name": "BEN",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "240-281-7653",
"authorized_official_credential": "MBA/CPHIMS"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "VA",
"license": "2370-02-001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.