Organization Active NPI

Clearr Vissions Support Services, Inc,

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1639508559
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
792-04-001 Issued in VA
Legal business name
CLEARR VISSIONS SUPPORT SERVICES, INC,
Practice address
4220 Oakleys CT
Suite a
Richmond, VA 23223-5974
Phone
(804) 271-7263
Fax
(804) 271-8612
NPI assigned
Nov 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Authorized official

Name
Mr. Derwin L Hickman Sr.
Title
Ceo
Phone
(804) 271-7263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 792-04-001 VA Primary

Addresses

Primary practice location

4220 Oakleys CT
Suite a
Richmond, VA 23223-5974

Mailing address

4220 Oakleys CT
Suite a
Richmond, VA 23223-5974
Phone (804) 271-7263

National Provider Directory

National Provider Directory
Tax ID family
Clearr Vission Support Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

4220 Oakleys Ct
Ste A
Richmond, VA 23223
Phone (804) 271-7263

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1639508559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 OAKLEYS CT",
            "address_2": "SUITE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235974",
            "telephone_number": "804-271-7263",
            "fax_number": "804-271-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 OAKLEYS CT",
            "address_2": "SUITE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235974",
            "telephone_number": "804-271-7263",
            "fax_number": "804-271-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARR VISSIONS SUPPORT SERVICES, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "DERWIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-271-7263",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "792-04-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.