Nelson West Haven

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

CLO-06-486 Issued in VA

Legal business name

NELSON WEST HAVEN

Practice address

2223 W Grace St
Richmond, VA 23220-2011

Phone

(805) 355-9636

Fax

(804) 379-9258

NPI assigned

Jan 21, 2007

Organization subpart

No

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

Authorized official

Name

Alma Nelson

Title

Owner

Phone

(804) 355-9636

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275686289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 W GRACE ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232202011",
            "telephone_number": "805-355-9636",
            "fax_number": "804-379-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 W GRACE ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232202011",
            "telephone_number": "805-355-9636",
            "fax_number": "804-379-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON WEST HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-355-9636"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "CLO-06-486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5002702",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Jade Neilan, PA-C
• James Jude Neiman, CRNA
• Nekton Autism of Virginia LLC
• Jessica Nelms
• Francis Norman Nelson Jr., LCSW
• Devin Nelson-Hence
• Alexis Ann Nelson, DO
• Amy Robbins Bowering Nelson, MD
• Bergen Ballard Nelson, M.D.
• Beverly L Nelson, LCSW BCD

• Assisted Living Facility in Richmond, VA
• Providers in Richmond, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.