Active NPI
Tsa Clean LLC
- Home Health Agency
- Virginia Beach, VA
National Provider Identifier
1619702966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.