Organization Active NPI

Nanas House Newport News

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newport News, VA
National Provider Identifier
1235674151
Registry record updated Jan 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
2370-02-001 Issued in VA
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

Updated by the provider on Jan 1, 2017

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.