Active NPI
Achievers House
- Mental Illness Community Based Residential Treatment Facility
- Norfolk, VA
National Provider Identifier
1386802759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 1031-14-001
- Legal business name
- ACHIEVERS HOUSE
- Practice address
- 1702 Brown Ave
Norfolk, VA 23504-4405 - Phone
- (757) 440-3774
- Fax
- (757) 321-2881
- NPI assigned
- Jun 1, 2008
- Last updated
- Jun 1, 2008
- 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. Ademola Adelugba
- Title
- Chief Administrative Officer
- Phone
- (757) 339-7172
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 1031-14-001 | VA | Primary |
Addresses
Primary practice location
1702 Brown Ave
Norfolk, VA 23504-4405
Mailing address
1702 Brown Ave
Norfolk, VA 23504-4405
Phone (757) 440-3774
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212278400000",
"number": "1386802759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 BROWN AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235044405",
"telephone_number": "757-440-3774",
"fax_number": "757-321-2881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 BROWN AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235044405",
"telephone_number": "757-440-3774",
"fax_number": "757-321-2881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACHIEVERS HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-01",
"last_updated": "2008-06-01",
"status": "A",
"authorized_official_last_name": "ADELUGBA",
"authorized_official_first_name": "ADEMOLA",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "757-339-7172",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "VA",
"license": "1031-14-001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.