Organization Active NPI

Higher Heights Residential SVC Ctr LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Portsmouth, VA
National Provider Identifier
1700021722
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
1036 Issued in VA
Legal business name
HIGHER HEIGHTS RESIDENTIAL SVC CTR LLC
Practice address
1604 Elm Ave
Portsmouth, VA 23704-4508
Phone
(757) 737-8406
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Ms. Kimberlee M Mack-Matthews
Title
Chief Financial Officer
Phone
(757) 737-8406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 1036 VA Primary

Addresses

Primary practice location

1604 Elm Ave
Portsmouth, VA 23704-4508

Mailing address

PO Box 962
Portsmouth, VA 23705-0962
Phone (757) 737-8406

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1700021722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237050962",
            "telephone_number": "757-737-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 ELM AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237044508",
            "telephone_number": "757-737-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHER HEIGHTS RESIDENTIAL SVC CTR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "MACK-MATTHEWS",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "757-737-8406",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "1036",
            "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 Dec 4, 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.