Active NPI
Higher Heights Residential SVC Ctr LLC
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Portsmouth, VA
National Provider Identifier
1700021722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 1036
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.