Ccbi, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CCBI, LLC

Practice address

4734 Eldon CT
Virginia Beach, VA 23462-7228

Phone

(757) 324-5446

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Adetunji TaiwoNPI 1568223774

Title

Ceo

Phone

(757) 324-5446

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CCBI, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adetunji Taiwo

  • Developmentally Disabled Services Day Training Agency
  • Virginia Beach, VA
  • NPI 1568223774

  Day Training, Developmentally Disabled Services

  NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1750135802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 ELDON CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627228",
            "telephone_number": "757-324-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4734 ELDON CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627228",
            "telephone_number": "757-324-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCBI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "TAIWO",
        "authorized_official_first_name": "ADETUNJI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-324-5446"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568223774",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCBI, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.