Active NPI
Ur Peace of the Pie L3C, LLC
- Community/Behavioral Health Agency
- South Boston, VA
National Provider Identifier
1609536382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- UR PEACE OF THE PIE L3C, LLC
- Practice address
- 202 Myrtle St
South Boston, VA 24592-3533 - Phone
- (434) 579-0940
- NPI assigned
- Dec 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy Y Ford
- Title
- Ceo/Owner
- Phone
- (336) 250-6525
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
202 Myrtle St
South Boston, VA 24592-3533
Mailing address
202 Myrtle St
South Boston, VA 24592-3533
Phone (434) 579-0940
Other names 1
- URPEACE Companion Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640131200000",
"number": "1609536382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 MYRTLE ST",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245923533",
"telephone_number": "434-579-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 MYRTLE ST",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245923533",
"telephone_number": "434-579-0940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UR PEACE OF THE PIE L3C, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-22",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "336-250-6525"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "URPEACE Companion Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Boston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.