NPIMap

Organization Active NPI

Clearr Vissions Support Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Chesterfield, VA
National Provider Identifier
1457685802
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
790 Issued in VA
Legal business name
CLEARR VISSIONS SUPPORT SERVICES, INC.
Practice address
5812 Northford PL
Chesterfield, VA 23832-7590
Phone
(804) 677-8307
Fax
(804) 271-8612
NPI assigned
Oct 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Mr. Derwin Hickman Sr.
Title
Owner
Phone
(804) 677-8307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 790 VA Primary

Addresses

Primary practice location

5812 Northford PL
Chesterfield, VA 23832-7590

Mailing address

5812 Northford PL
Chesterfield, VA 23832-7590
Phone (804) 677-8307

National Provider Directory

National Provider Directory
Tax ID family
Clearr Vission Support Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1457685802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5812 NORTHFORD PL",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327590",
            "telephone_number": "804-677-8307",
            "fax_number": "804-271-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5812 NORTHFORD PL",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327590",
            "telephone_number": "804-677-8307",
            "fax_number": "804-271-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARR VISSIONS SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "DERWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-677-8307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.