Naomi'S Place, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4071 Issued in VA

Legal business name

NAOMI'S PLACE, LLC

Practice address

4512 Sadler Grove CT
Glen Allen, VA 23060-6181

Phone

(804) 833-6036

Fax

(804) 360-0660

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Naomi Walker

Title

Owner

Phone

(804) 833-6036

Specialties & licenses 2

Addresses

Other names 1

• NAOMI'S PLACE Other name

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1790931509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BARNSLEY TER",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230593424",
            "telephone_number": "804-833-6036",
            "fax_number": "804-360-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 SADLER GROVE CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606181",
            "telephone_number": "804-833-6036",
            "fax_number": "804-360-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAOMI'S PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-833-6036"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "4071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NAOMI'S PLACE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Courtney Murden
• Suzanne Murdzek, CCC, SLP
• Sarah E Murphy, M.S. ED, BCBA, LBA
• Ehtesham Mustafa, PA-C
• Susan H. Myzer, CPNP
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• Sajitha Nathan, NP
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• Huma M Nayani, PMHNP-BC
• Mildred Clark Neagle, NURSE PRACTITIONER

• Community/Behavioral Health Agency in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.