NPIMap

Organization Active NPI

Ebleak Inc.

  • Community/Behavioral Health Agency
  • Portsmouth, VA
National Provider Identifier
1538589494
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EBLEAK INC.
Practice address
1712 Airline Blvd
Portsmouth, VA 23707-3911
Phone
(757) 337-2457
NPI assigned
Apr 18, 2014
Last updated
Apr 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Authorized official

Name
Mrs. Emily Leak
Title
Director
Phone
(757) 338-6086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1712 Airline Blvd
Portsmouth, VA 23707-3911

Mailing address

1712 Airline Blvd
Portsmouth, VA 23707-3911

National Provider Directory

National Provider Directory
Tax ID family
DB Leak Inc2 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

1712 Airline Blvd
Portsmouth, VA 23707
Phone (757) 295-4950

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1538589494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 AIRLINE BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 AIRLINE BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073911",
            "telephone_number": "757-337-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBLEAK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "LEAK",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-338-6086",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Apr 18, 2014; 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.