Active NPI
Aim 4 Perfection
- Community/Behavioral Health Agency
- Crewe, VA
National Provider Identifier
1366958183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- AIM 4 PERFECTION
- Practice address
- 124 E Carolina Ave
Crewe, VA 23930-1802 - Phone
- (434) 538-0433
- Fax
- (434) 538-0433
- NPI assigned
- Dec 15, 2017
- 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
- Mr. Daniel Tucker Jr.
- Title
- Owner
- Phone
- (434) 583-0433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | VA | Primary |
Addresses
Primary practice location
124 E Carolina Ave
Crewe, VA 23930-1802
Mailing address
124 E Carolina Ave
Crewe, VA 23930-1802
Phone (434) 538-0433
Other names 1
- Aim 4 Perfection Community Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513296000000",
"number": "1366958183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 E CAROLINA AVE",
"city": "CREWE",
"state": "VA",
"postal_code": "239301802",
"telephone_number": "434-538-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E CAROLINA AVE",
"city": "CREWE",
"state": "VA",
"postal_code": "239301802",
"telephone_number": "434-538-0433",
"fax_number": "434-538-0433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIM 4 PERFECTION",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-15",
"last_updated": "2017-12-15",
"status": "A",
"authorized_official_last_name": "TUCKER",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "434-583-0433",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aim 4 Perfection Community Care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Crewe, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.