Mary'S Home Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MARY'S HOME INC

Practice address

4020 Portsmouth Blvd
Chesapeake, VA 23321-2126

Phone

(757) 529-8844

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Krystal Clanton

Title

Ceo

Phone

(757) 529-8844

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1437871753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 PORTSMOUTH BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212126",
            "telephone_number": "757-529-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 PORTSMOUTH BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212126",
            "telephone_number": "757-529-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "CLANTON",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-529-8844"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3827",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marvina Home Health & Hospice
• Mary a. Haley, D.D.S., PLLC
• Mary Brantley LLC
• Mary Giencke
• Mary Grace Rafanan
• Maryview Hospital
• Maryview Hospital
• Maryview Hospital
• Maryview Hospital
• Maryview Hospital

• Mental Health Counselor in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.