Individual provider Active NPI

Makesha Danielle Brown

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Portsmouth, VA
National Provider Identifier
1497399893
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
2850 Issued in VA
Practice address
20 Centre Port Cir
Portsmouth, VA 23703-5453
Phone
(757) 639-3948
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 2850 VA Primary

Addresses

Primary practice location

20 Centre Port Cir
Portsmouth, VA 23703-5453

Mailing address

20 Centre Port Cir
Portsmouth, VA 23703-5453
Phone (757) 639-3948

Other practice location 1

20 Centre Port Cir
Portsmouth, VA 23703-5453
Phone (757) 639-3948

Other practice location 2

20 Centre Port Cir
Portsmouth, VA 23703-5453
Phone (757) 639-3948 ext. 75763

Other practice location 3

20 Centre Port Cir
Portsmouth, VA 23703-5453
Phone (757) 639-3948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2850VAMDIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Practice roles

OrganizationSpecialtyStatusNew patients
CDC Home Healthcare LLC Current Accepting new patients
Heavenly Rides Medical Transportation, LLC Current Accepting new patients
Gifted Handz LLC Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1497399893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CENTRE PORT CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237035453",
            "telephone_number": "757-639-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CENTRE PORT CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237035453",
            "telephone_number": "757-639-3948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Centre Port Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237035453",
            "country_code": "US",
            "telephone_number": "757-639-3948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Centre Port Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237035453",
            "country_code": "US",
            "telephone_number": "757-639-3948 x75763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Centre Port Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237035453",
            "country_code": "US",
            "telephone_number": "757-639-3948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MAKESHA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "2850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.