Active NPI
Community Agency for Resilient Living, LLC
- Community/Behavioral Health Agency
- Portsmouth, VA
National Provider Identifier
1457995458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- COMMUNITY AGENCY FOR RESILIENT LIVING, LLC
- Practice address
- 3210 Churchland Blvd
Suite 3
Portsmouth, VA 23703 - Phone
- (757) 639-4974
- NPI assigned
- Nov 1, 2019
- Last updated
- Nov 1, 2019
- 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
- Ashley Davis
- Title
- Ceo
- Phone
- (757) 639-4974
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
3210 Churchland Blvd
Suite 3
Portsmouth, VA 23703
Mailing address
3210 Churchland Blvd
Suite 3
Portsmouth, VA 23703
Phone (757) 639-4974
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Community Health Registered Nurse
- Chesapeake, VA
- NPI 1063025252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572566400000",
"number": "1457995458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 CHURCHLAND BLVD",
"address_2": "SUITE 3",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23703",
"telephone_number": "757-639-4974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 CHURCHLAND BLVD",
"address_2": "SUITE 3",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23703",
"telephone_number": "757-639-4974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY AGENCY FOR RESILIENT LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-01",
"last_updated": "2019-11-01",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-639-4974"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
- Gabriela Marie Colon, MS SLP-CCC
- Comfort Homes and Supported Living LLC
- Commonwealth Community Development Services Inc.
- Commonwealth Community Services LLC
- Commonwealth of Virginia State Board of Health
- Community Counseling Resources
- Community of Change, Inc.
- Community Options, LLC
- Community Outreach Coalition
- Compassionate Hands Home Healthcare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.