Organization Active NPI

Phoenix N Peace LLC

  • Private Vehicle
  • Petersburg, VA
National Provider Identifier
1245750488
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
PHOENIX N PEACE LLC
Practice address
3297C S Crater Rd
Petersburg, VA 23805-9216
Phone
(804) 862-8810
NPI assigned
Jun 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Marilyn C Newby
Title
Executive Director
Phone
(804) 862-8810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

3297C S Crater Rd
Petersburg, VA 23805-9216

Mailing address

3297C S Crater Rd
Petersburg, VA 23805-9216
Phone (804) 862-8810

National Provider Directory

National Provider Directory
Tax ID family
Phoenix-N-Peace Acr Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245750488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3297C S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059216",
            "telephone_number": "804-862-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3297C S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059216",
            "telephone_number": "804-862-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX N PEACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NEWBY",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-862-8810",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.