Active NPI
Passionate Hearts Supportive Services LLC.
- Developmentally Disabled Services Day Training Agency
- Virginia Beach, VA
National Provider Identifier
1326726613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- PASSIONATE HEARTS SUPPORTIVE SERVICES LLC.
- Practice address
- 6253 Auburn Dr
Virginia Beach, VA 23464-3714 - Phone
- (757) 404-3815
- NPI assigned
- Jul 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Betty Ray Yarborough
- Title
- Director
- Phone
- (757) 404-3815
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
6253 Auburn Dr
Virginia Beach, VA 23464-3714
Mailing address
3705 Juniper LN
Virginia Beach, VA 23456-8133
Phone (757) 404-3815
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691971200000",
"number": "1326726613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 JUNIPER LN",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234568133",
"telephone_number": "757-404-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6253 AUBURN DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234643714",
"telephone_number": "757-404-3815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASSIONATE HEARTS SUPPORTIVE SERVICES LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-07",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A",
"authorized_official_last_name": "YARBOROUGH",
"authorized_official_first_name": "BETTY",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "757-404-3815"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.