Organization Active NPI

Commonwealth Day Support Inc

  • Developmentally Disabled Services Day Training Agency
  • Petersburg, VA
National Provider Identifier
1740988872
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
COMMONWEALTH DAY SUPPORT INC
Practice address
500 S Sycamore St
Petersburg, VA 23803-5046
Phone
(804) 908-4635
Fax
(804) 232-9211
NPI assigned
Feb 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Gerry Rawlinson
Title
Director
Phone
(804) 908-4635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

500 S Sycamore St
Petersburg, VA 23803-5046

Mailing address

5601 Hull Street Rd
Richmond, VA 23224-2839
Phone (804) 908-4635

Other identifiers 1

IdentifierTypeStateIssuer
2076OtherVADBHDS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1740988872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 HULL STREET RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242839",
            "telephone_number": "804-908-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S SYCAMORE ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035046",
            "telephone_number": "804-908-4635",
            "fax_number": "804-232-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH DAY SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "RAWLINSON",
        "authorized_official_first_name": "GERRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-908-4635"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBHDS",
            "identifier": "2076",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.