Doss Estates, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

468 Issued in VA

Legal business name

DOSS ESTATES, INC.

Practice address

860 Piney Grove Rd
Gretna, VA 24557-1843

Phone

(434) 656-6881

NPI assigned

May 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Darlene Keen Doss

Title

President

Phone

(434) 656-6881

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649226572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 PINEY GROVE RD",
            "city": "GRETNA",
            "state": "VA",
            "postal_code": "245571843",
            "telephone_number": "434-656-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 PINEY GROVE RD",
            "city": "GRETNA",
            "state": "VA",
            "postal_code": "245571843",
            "telephone_number": "434-656-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOSS ESTATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "KEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-656-6881",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4943759",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andre Anthony Dickerson
• Laschae Dickerson
• Rosalind Dickerson
• Vernella Dickerson
• Vickie Dickerson
• Rufus Randolph Duffer
• Violet P. Esposito, FNP
• Tracy Overstreet Garrett, FNP-C
• Gretna Drug Co., Inc. (Gretna Drug Co LTC)
• Gretna Drug Co., Inc.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gretna, VA
• Providers in Gretna, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.