Groomed for Greatness Learning Center II

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GROOMED FOR GREATNESS LEARNING CENTER II

Doing business as

Groomed for Greatness Vaccine Clinic

Practice address

1711 Church St Ste C
Norfolk, VA 23504-2303

Phone

(757) 402-0463

NPI assigned

Jan 7, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Ernecia House

Title

Executive Director

Phone

(757) 675-8550

Specialties & licenses 3

Addresses

Other names 1

• Groomed for Greatness Vaccine Clinic Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1285395566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 CHURCH ST STE C",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042303",
            "fax_number": "757-612-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 CHURCH ST STE C",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042303",
            "telephone_number": "757-402-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROOMED FOR GREATNESS LEARNING CENTER II",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "ERNECIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-675-8550",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "g4gvaccineclinic.as.me",
            "affiliation": "N",
            "address_1": "1711 Church St Ste C",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235042303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Groomed for Greatness Vaccine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Nicole Grimsley
• Sharon V Grimstead
• Ashley Grisnik
• Jessica Grohler, LHIS
• Joshua Grohler
• Christopher Francis Gross
• Katherine Gross, PA-S
• Cecil Dwight Groves, M.D
• Grow Roots & Rise Services LLC
• Growth Counseling, LLC

• Clinical Medical Laboratory in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Medical Laboratory in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.