Virginia Support Group, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

VIRGINIA SUPPORT GROUP, LLC

Practice address

4663 Haygood Rd
Suite 201
Virginia Beach, VA 23455-5442

Phone

(757) 962-9786

Fax

(757) 962-9829

NPI assigned

May 21, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Sherry Taneil Ferebee

Title

Executive Director

Phone

(757) 927-3730

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1396181020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4663 HAYGOOD RD",
            "address_2": "SUITE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555442",
            "telephone_number": "757-962-9786",
            "fax_number": "757-962-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4663 HAYGOOD RD",
            "address_2": "SUITE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555442",
            "telephone_number": "757-962-9786",
            "fax_number": "757-962-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA SUPPORT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "FEREBEE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "TANEIL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-927-3730",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.