NPIMap

Organization Active NPI

Kids 4 Success, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Hampton, VA
National Provider Identifier
1609029172
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
1052-14-001 Issued in VA
Legal business name
KIDS 4 SUCCESS, LLC
Practice address
641 Birch Ave
Hampton, VA 23661-1719
Phone
(754) 246-8506
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Mrs. Telove Ladawn Brown, RN
Title
Owner
Phone
(757) 818-4352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 1052-14-001 VA Primary

Addresses

Primary practice location

641 Birch Ave
Hampton, VA 23661-1719

Mailing address

641 Birch Ave
Hampton, VA 23661-1719
Phone (754) 246-8506

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1609029172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 BIRCH AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236611719",
            "telephone_number": "754-246-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 BIRCH AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236611719",
            "telephone_number": "754-246-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS 4 SUCCESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TELOVE",
        "authorized_official_middle_name": "LADAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-818-4352",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "1052-14-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 28, 2008; 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.