NPIMap

Organization Active NPI

Volunteers of America Chesapeake, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Woodbridge, VA
National Provider Identifier
1760419113
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
4947941 Issued in VA
Legal business name
VOLUNTEERS OF AMERICA CHESAPEAKE, INC.
Practice address
12940 Harbor View Drive
Woodbridge, VA 23462
Phone
(301) 389-3156
Fax
(301) 389-3195
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Ms. Connie C Price, M.S.
Title
Director Operations
Phone
(301) 389-3166

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 175-01-001 VA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 175-01-001 VA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 4947941 VA Primary

Addresses

Primary practice location

12940 Harbor View Drive
Woodbridge, VA 23462

Mailing address

12940 Harbor View Drive
Woodbridge, VA 22192
Phone (301) 389-3156

Other identifiers 2

IdentifierTypeStateIssuer
4948149MedicaidVA
4948419MedicaidVA

Other names 1

  • Northern Virginia Community Living Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America Chesapeake Carolinas Inc30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Locations

12940 Harbor Dr
Woodbridge, VA 22192
Phone (301) 389-3156

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1760419113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12940 HARBOR VIEW DRIVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "301-389-3156",
            "fax_number": "301-389-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12940 HARBOR VIEW DRIVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "301-389-3156",
            "fax_number": "301-389-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA CHESAPEAKE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "301-389-3166",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "175-01-001",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "175-01-001",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "4947941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4948149",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4948419",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Virginia Community Living Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.