Organization Active NPI

Compassion House Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Norfolk, VA
National Provider Identifier
1801123716
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
COMPASSION HOUSE INC.
Practice address
3649 Riverside Dr
Norfolk, VA 23502-4351
Phone
(757) 923-1937
Fax
(757) 923-1938
NPI assigned
Nov 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Authorized official

Name
Ms. Danora Brockman
Title
Program Administrator
Phone
(757) 923-1937

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X VA Primary
Private Vehicle 347C00000X VA

Addresses

Primary practice location

3649 Riverside Dr
Norfolk, VA 23502-4351

Mailing address

3649 Riverside Dr
Norfolk, VA 23502-4351
Phone (757) 923-1937

Other identifiers 1

IdentifierTypeStateIssuer
00000OtherVAMEDICAID WAIVER ID PENDING

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1801123716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 RIVERSIDE DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024351",
            "telephone_number": "757-923-1937",
            "fax_number": "757-923-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3649 RIVERSIDE DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024351",
            "telephone_number": "757-923-1937",
            "fax_number": "757-923-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "DANORA",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "757-923-1937",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER  ID PENDING",
            "identifier": "00000",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.