NPIMap

Organization Active NPI

Tidewater Regional Group Home Commission

  • Community/Behavioral Health Agency
  • Portsmouth, VA
National Provider Identifier
1669482501
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
08305001 Issued in VA
Legal business name
TIDEWATER REGIONAL GROUP HOME COMMISSION
Practice address
2404 Airline Blvd
Portsmouth, VA 23701-2912
Phone
(757) 488-9382
Fax
(757) 488-9564
NPI assigned
Aug 9, 2006
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Mrs. Linda Filippi, L.C.S.W., C.S.O.T.P.
Title
Executive Director
Phone
(757) 488-9161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 08305001 VA Primary

Addresses

Primary practice location

2404 Airline Blvd
Portsmouth, VA 23701-2912

Mailing address

2404 Airline Blvd
Portsmouth, VA 23701-2912
Phone (757) 488-9161

National Provider Directory

National Provider Directory

Locations

2404 Airline Blvd
Portsmouth, VA 23701
Phone (757) 488-9161

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1669482501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 AIRLINE BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012912",
            "telephone_number": "757-488-9161",
            "fax_number": "757-488-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 AIRLINE BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012912",
            "telephone_number": "757-488-9382",
            "fax_number": "757-488-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER REGIONAL GROUP HOME COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "FILIPPI",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-488-9161",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W., C.S.O.T.P."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "08305001",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 13, 2007; 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.