NPIMap

Organization Active NPI

Community Intervention Healthcare Services Virginia

  • Substance Abuse Rehabilitation Facility
  • Chester, VA
National Provider Identifier
1710679147
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
COMMUNITY INTERVENTION HEALTHCARE SERVICES VIRGINIA
Practice address
4800 W Hundred Rd
Chester, VA 23831-1746
Phone
(410) 505-0550
NPI assigned
May 24, 2023
Organization subpart
Yes
Parent organization
COMMUNITY INTERVENTION HEALTHCARE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Mr. Adeleke Ibironke
Title
Chief Executive Officer
Phone
(443) 929-3667

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4800 W Hundred Rd
Chester, VA 23831-1746

Mailing address

12 Clematis CT
Owings Mills, MD 21117-5032

Other names 1

  • CIHS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Intervention Healthcare Services LLC4 organizations share this tax ID, including this one
Part of
Community Intervention Healthcare Services LLC

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1710679147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CLEMATIS CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311746",
            "telephone_number": "410-505-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY INTERVENTION HEALTHCARE SERVICES VIRGINIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY INTERVENTION HEALTHCARE SERVICES",
        "enumeration_date": "2023-05-24",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "IBIRONKE",
        "authorized_official_first_name": "ADELEKE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "443-929-3667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIHS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CIHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.