Garrisons Supportive Living

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GARRISONS SUPPORTIVE LIVING

Practice address

1253 W 27TH St
Norfolk, VA 23508-2442

Phone

(757) 779-4493

NPI assigned

Dec 30, 2020

Last updated

Dec 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony Peterkin

Title

Executive Director

Phone

(757) 779-4493

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Veatrice Q Mapp, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1477142644
  NPD

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1811584469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 W 27TH ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082442",
            "telephone_number": "757-779-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 W 27TH ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082442",
            "telephone_number": "757-779-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRISONS SUPPORTIVE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "PETERKIN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-779-4493"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolanne Evans Garofalo, CRNA
• Lucia Garra Rodriguez
• Khandi Garraway, MSW, LCSW
• Deshonna Garrett
• Bobby J Garrison Jr., MD
• Grace Hugh Gartman
• Gary Boggus MD, PC
• Maria Ciraci Gary, CRNA
• Ricardo Garza, I.D.C.
• Emma Laura Gash, NP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.