Organization Active NPI

PPCS Enterprises LLC

  • Community/Behavioral Health Agency
  • Chesapeake, VA
National Provider Identifier
1558774679
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2088-03-001 Issued in VA
Legal business name
PPCS ENTERPRISES LLC
Practice address
804 Parapet Rd
Chesapeake, VA 23323-2420
Phone
(757) 580-0451
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Mrs. Doretha Renee Selby-Diggs, MED
Title
Cheif Executive Officer
Phone
(757) 839-4243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2088-03-001 VA Primary

Addresses

Primary practice location

804 Parapet Rd
Chesapeake, VA 23323-2420

Mailing address

804 Parapet Rd
Chesapeake, VA 23323-2420
Phone (757) 580-0451

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1558774679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 PARAPET RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232420",
            "telephone_number": "757-580-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 PARAPET RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232420",
            "telephone_number": "757-580-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPCS ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "SELBY-DIGGS",
        "authorized_official_first_name": "DORETHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "757-839-4243",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2088-03-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.