NPIMap

Organization Active NPI

Patrick Henry Hospital, Inc.

  • Adult Day Care Clinic/Center
  • Newport News, VA
National Provider Identifier
1740388560
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
PL006112 Issued in VA
Legal business name
PATRICK HENRY HOSPITAL, INC.
Practice address
1010 Old Denbigh Blvd
Newport News, VA 23602-2017
Phone
(757) 875-2033
Fax
(757) 875-2070
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Mr. Walter W Austin
Title
Cfo
Phone
(757) 875-7846

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X PL006112 VA Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PL006112 VA

Addresses

Primary practice location

1010 Old Denbigh Blvd
Newport News, VA 23602-2017

Mailing address

608 Denbigh Blvd
Suite 600
Newport News, VA 23608-4410
Phone (757) 875-2023

Other identifiers 1

IdentifierTypeStateIssuer
008730199MedicaidVA

Other names 1

  • Riverside Adult Daycare, Newport News Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caulkins Pamela6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1010 Old Denbigh Blvd
Newport News, VA 23602
Phone (757) 875-2033

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1740388560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 DENBIGH BLVD",
            "address_2": "SUITE 600",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084410",
            "telephone_number": "757-875-2023",
            "fax_number": "757-875-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 OLD DENBIGH BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236022017",
            "telephone_number": "757-875-2033",
            "fax_number": "757-875-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK HENRY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "757-875-7846",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "VA",
            "license": "PL006112",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "VA",
            "license": "PL006112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008730199",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Adult Daycare, Newport News",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Adult Daycare, Newport News",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.