Organization Active NPI

Tsa Clean LLC

  • Home Health Agency
  • Virginia Beach, VA
National Provider Identifier
1619702966
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TSA CLEAN LLC
Practice address
2085 Lynnhaven Pkwy # 106-510
Virginia Beach, VA 23456-1497
Phone
(262) 879-4303
NPI assigned
Sep 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Quentin Doerges
Title
Development Coordinator
Phone
(727) 410-9873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2085 Lynnhaven Pkwy # 106-510
Virginia Beach, VA 23456-1497

Mailing address

2085 Lynnhaven Pkwy # 106-510
Virginia Beach, VA 23456-1497
Phone (262) 879-4303

Other practice location 1

2085 Lynnhaven Pkwy # 106-510
Virginia Beach, VA 23456-1497

Other names 1

  • OnCallBio Other name

National Provider Directory

National Provider Directory

Locations

2085 Lynnhaven Pkwy
Virginia Beach, VA 23456
Phone (262) 879-4303

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1619702966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 LYNNHAVEN PKWY # 106-510",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561497",
            "telephone_number": "262-879-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 LYNNHAVEN PKWY # 106-510",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561497",
            "telephone_number": "262-879-4303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2085 Lynnhaven Pkwy # 106-510",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234561497",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TSA CLEAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "DOERGES",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_title_or_position": "DEVELOPMENT COORDINATOR",
        "authorized_official_telephone_number": "727-410-9873"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OnCallBio",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.