Organization Active NPI

The Enrichment Center

  • Respite Care
  • Portsmouth, VA
National Provider Identifier
1639402969
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
401-567-35015-67012 Issued in VA
Legal business name
THE ENRICHMENT CENTER
Practice address
1628 Portsmouth Blvd
Portsmouth, VA 23704-6453
Phone
(757) 398-0717
Fax
(757) 398-0716
NPI assigned
Sep 18, 2009
Last updated
Sep 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
Joan Jones
Title
Owner
Phone
(757) 398-0717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 401-567-35015-67012 VA Primary

Addresses

Primary practice location

1628 Portsmouth Blvd
Portsmouth, VA 23704-6453

Mailing address

1628 Portsmouth Blvd
Portsmouth, VA 23704-6453
Phone (757) 398-0717

Other identifiers 1

IdentifierTypeStateIssuer
0150692108MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
The Enrichment Center2 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.

Locations

1628 Portsmouth Blvd
Portsmouth, VA 23704
Phone (757) 398-0717

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1639402969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 PORTSMOUTH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237046453",
            "telephone_number": "757-398-0717",
            "fax_number": "757-398-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 PORTSMOUTH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237046453",
            "telephone_number": "757-398-0717",
            "fax_number": "757-398-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ENRICHMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-398-0717"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "401-567-35015-67012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150692108",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.