Organization Active NPI

JK2C, LLC

Doing business as The Chesapeake Treatment Center

  • Methadone Clinic
  • Chesapeake, VA
National Provider Identifier
1245520717
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
JK2C, LLC
Doing business as
The Chesapeake Treatment Center
Practice address
109 Wimbledon SQ
Unit H
Chesapeake, VA 23320-4945
Phone
(757) 774-0033
Fax
(757) 394-3094
NPI assigned
Apr 18, 2011
Last updated
Apr 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Mrs. Keri Nicole Chinnici
Title
President / Ceo
Phone
(757) 774-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X VA Primary

Addresses

Primary practice location

109 Wimbledon SQ
Unit H
Chesapeake, VA 23320-4945

Mailing address

6105 Kent CT
Suffolk, VA 23435-3107
Phone (757) 774-0033

Other names 1

  • THE CHESAPEAKE TREATMENT CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JK2C LLC4 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.

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1245520717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 KENT CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353107",
            "telephone_number": "757-774-0033",
            "fax_number": "757-394-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WIMBLEDON SQ",
            "address_2": "UNIT H",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204945",
            "telephone_number": "757-774-0033",
            "fax_number": "757-394-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK2C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "CHINNICI",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "757-774-0033",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE CHESAPEAKE TREATMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.