Active NPI
Commonwealth Day Support Inc
- Developmentally Disabled Services Day Training Agency
- Petersburg, VA
National Provider Identifier
1740988872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2076 | Other | VA | DBHDS |
National Provider Directory
National Provider DirectoryNPI 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
- Sarah Combs, PTA
- Commonwealth Alliance
- Commonwealth Behavioral Care Services LLC
- Commonwealth Care Services LLC
- Commonwealth Day Support
- Commonwealth Foot and Ankle, Inc.
- Commonwealth OB-GYN, P.C.
- Commonwealth of VA Hiram W Davis Medical Center
- Commonwealth of VA Hiram W Davis Medical Center
- Commonwealth of Virginia Central State Hospital
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.