NPIMap

Organization Active NPI

Peacedrapha Healthcare Corporation

  • Community/Behavioral Health Agency
  • Chesapeake, VA
National Provider Identifier
1316492028
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2351 Issued in VA
Legal business name
PEACEDRAPHA HEALTHCARE CORPORATION
Practice address
2004 Buckland St
Chesapeake, VA 23324-3203
Phone
(757) 222-9690
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Chidi EkwuemeNPI 1164977872
Title
Program Manager
Phone
(757) 560-6073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2351 VA Primary
Skilled Nursing Facility 314000000X 2351 VA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 2351 VA
Private Vehicle 347C00000X VA

Addresses

Primary practice location

2004 Buckland St
Chesapeake, VA 23324-3203

Mailing address

2004 Buckland St
Chesapeake, VA 23324-3203
Phone (757) 222-9690

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1316492028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 BUCKLAND ST",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233243203",
            "telephone_number": "757-222-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 BUCKLAND ST",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233243203",
            "telephone_number": "757-222-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEDRAPHA HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "EKWUEME",
        "authorized_official_first_name": "CHIDI",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "757-560-6073"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2351",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "2351",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "2351",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 30, 2017; 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.