Campbell House Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

861-14-001 Issued in VA

Legal business name

CAMPBELL HOUSE INC

Practice address

2531 Vincent Ave
Norfolk, VA 23509-2339

Phone

(757) 858-0881

Fax

(757) 858-0881

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline Campbell

Title

Ceo

Phone

(757) 237-6962

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811023997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5328 HALTER LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024435",
            "telephone_number": "757-237-6962",
            "fax_number": "757-858-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 VINCENT AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235092339",
            "telephone_number": "757-858-0881",
            "fax_number": "757-858-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-237-6962",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "861-14-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milana-Thai Caira Calupitan
• Stephanie Nora Camacho, NNP-BC
• Camellia House LLC
• Jessica Cameron
• Robert Michael Camp, MD
• Brian David Campbell, USN-IDC
• Brianna Leigh Campbell, CSA
• Elana Carissa Campbell, MSW, LCSWA
• Jessica Marie Campbell
• Kristin Elizabeth Campbell, D.O.

• Mental Illness Community Based Residential Treatment Facility in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.