Community Empowerment Program, LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

SS-230-07 Issued in VA

Legal business name

COMMUNITY EMPOWERMENT PROGRAM, LLC

Practice address

9545 Kennedy Station Ter
Glen Allen, VA 23060-3933

Phone

(809) 426-6390

Fax

(804) 266-3930

NPI assigned

Apr 23, 2008

Last updated

Apr 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Clintral Trimelle Morris

Title

Ceo

Phone

(804) 266-3909

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1427223288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1186",
            "address_2": "9545 KENNEDY STATION TERRACE",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230601186",
            "telephone_number": "809-426-6390",
            "fax_number": "804-266-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9545 KENNEDY STATION TER",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603933",
            "telephone_number": "809-426-6390",
            "fax_number": "804-266-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY EMPOWERMENT PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "CLINTRAL",
        "authorized_official_middle_name": "TRIMELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-266-3909",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "VA",
            "license": "SS-230-07",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF MEDICAL ASSISTANCE SERVICES",
            "identifier": "010177162",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Commonwealth Primary Care (CPC Rehabilitation Division)
• Commonwealth Primary Care (Family Physicians, Wyndham)
• Commonwealth Sports Medicine PC
• Commonwealth Vision Center
• Community Aid, LLC
• Compassionate Loving Homecare, LLC
• Comprehensive ENT P C
• Kyle Douglas Compton, MD
• Emilie Alden Conner, LPC
• Lauren Conners

• Foster Care Agency in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Foster Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.