Organization Active NPI

Benevolent Supportive Services

  • Developmentally Disabled Services Day Training Agency
  • Virginia Beach, VA
National Provider Identifier
1235959628
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BENEVOLENT SUPPORTIVE SERVICES
Practice address
464 Investors PL Ste 206C
Virginia Beach, VA 23452-1384
Phone
(757) 629-3942
Fax
(757) 716-9108
NPI assigned
Oct 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Ms. Kena A Foreman, BS, MPH, QMHP
Title
Owner
Phone
(757) 629-3942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

464 Investors PL Ste 206C
Virginia Beach, VA 23452-1384

Mailing address

464 Investors PL Ste 206C
Virginia Beach, VA 23452-1384
Phone (757) 629-3942

National Provider Directory

National Provider Directory

Locations

464 Investors Pl
Ste 206C
Virginia Beach, VA 23452
Phone (757) 343-7822

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1235959628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 INVESTORS PL STE 206C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521384",
            "telephone_number": "757-629-3942",
            "fax_number": "757-716-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 INVESTORS PL STE 206C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521384",
            "telephone_number": "757-629-3942",
            "fax_number": "757-716-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEVOLENT SUPPORTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "KENA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-629-3942",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS, MPH, QMHP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 11, 2024; 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.