NPIMap

Organization Active NPI

Louise W. Eggleston Center, Inc.

  • School Social Worker
  • Hampton, VA
National Provider Identifier
1467887612
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
167 Issued in VA
Legal business name
LOUISE W. EGGLESTON CENTER, INC.
Doing business as
Eggleston
Practice address
51 Battle Rd
Hampton, VA 23666-1403
Phone
(757) 224-9680
Fax
(757) 224-9715
NPI assigned
Sep 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Mr. Ricky Allen Biggs, CPA
Title
Cfo
Phone
(757) 321-6836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X 167 VA Primary

Addresses

Primary practice location

51 Battle Rd
Hampton, VA 23666-1403

Mailing address

51 Battle Rd
Hampton, VA 23666-1403
Phone (757) 224-9680

Other identifiers 1

IdentifierTypeStateIssuer
1093768921MedicaidVA

Other names 1

  • Eggleston Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eggleston2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

51 Battle Rd
Hampton, VA 23666
Phone (757) 224-9680

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1467887612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 BATTLE RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661403",
            "telephone_number": "757-224-9680",
            "fax_number": "757-224-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 BATTLE RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661403",
            "telephone_number": "757-224-9680",
            "fax_number": "757-224-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISE W. EGGLESTON CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "BIGGS",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "757-321-6836",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": "VA",
            "license": "167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093768921",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eggleston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.