Organization Active NPI

Compassionate Personal Care

  • Community/Behavioral Health Agency
  • Suffolk, VA
National Provider Identifier
1720242928
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
011719 Issued in VA
Legal business name
COMPASSIONATE PERSONAL CARE
Doing business as
Compassionate Personal Care
Practice address
205 Market St
Suffolk, VA 23434-5209
Phone
(757) 923-1916
Fax
(757) 923-1917
NPI assigned
Jul 16, 2008
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mrs. Barbara Ann Brown, RN
Title
Adm
Phone
(757) 923-1916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 011719 VA Primary

Addresses

Primary practice location

205 Market St
Suffolk, VA 23434-5209

Mailing address

205 Market St
Suffolk, VA 23434-5209
Phone (757) 923-1916

Other identifiers 1

IdentifierTypeStateIssuer
0154370578MedicaidVA

Other names 1

  • Compassionate Personal Care Doing business as

National Provider Directory

National Provider Directory

Locations

205 Market St
Suffolk, VA 23434
Phone (757) 923-1916

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1720242928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MARKET ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345209",
            "telephone_number": "757-923-1916",
            "fax_number": "757-923-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARKET ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345209",
            "telephone_number": "757-923-1916",
            "fax_number": "757-923-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADM",
        "authorized_official_telephone_number": "757-923-1916",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "011719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154370578",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.