East Coast Family Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2405 Issued in VA

Legal business name

EAST COAST FAMILY SERVICES

Practice address

259 Granby St.
Norfolk, VA 23510

Phone

(412) 657-0606

Fax

(757) 514-8586

NPI assigned

Jun 24, 2016

Organization subpart

No

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

Authorized official

Name

Jamar Levell Johnson

Title

Executive Officer

Phone

(412) 657-0606

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1326499989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 GRANBY ST.",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23510",
            "telephone_number": "412-657-0606",
            "fax_number": "757-514-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 GRANBY ST.",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23510",
            "telephone_number": "412-657-0606",
            "fax_number": "757-514-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMAR",
        "authorized_official_middle_name": "LEVELL",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "412-657-0606"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2405",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• East Coast Family Services
• East Coast Human Services, LLC
• East End Academy Inc Southside
• East Virginia Medical School
• Glen Lloyd East, PT
• Mark Anthony East, M.D.

• Community/Behavioral Health Agency in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.