Intensive Community Outreach Services LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

118542 Issued in VA

Legal business name

INTENSIVE COMMUNITY OUTREACH SERVICES LLC

Practice address

501 E Franklin St
Suite 516
Richmond, VA 23219-2322

Phone

(804) 317-7777

NPI assigned

Aug 5, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Bernard L Heyward

Title

President

Phone

(804) 317-7777

Specialties & licenses 1

Addresses

Tax ID family

Intensive Community Outreach Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Intensive Community Outreach Services

  • Point of Service
  • Wiliamsburg, VA
  • NPI 1548495708
  NPD tax ID

Locations

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1639335987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E FRANKLIN ST",
            "address_2": "SUITE 516",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232192322",
            "telephone_number": "804-317-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E FRANKLIN ST",
            "address_2": "SUITE 516",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232192322",
            "telephone_number": "804-317-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVE COMMUNITY OUTREACH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "HEYWARD",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-317-7777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "118542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Richmond, VA
• Providers in Richmond, VA by specialty
• Preferred Provider Organization in Virginia

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