Active NPI
Destined Beginnings LLC
- Community/Behavioral Health Agency
- Virginia Beach, VA
National Provider Identifier
1811711856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- DESTINED BEGINNINGS LLC
- Practice address
- 485 S Independence Blvd Ste 115
Virginia Beach, VA 23452-1129 - Phone
- (757) 581-1549
- NPI assigned
- Nov 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Reginique K Griffin
- Title
- Executive Director
- Phone
- (757) 359-3204
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Preferred Provider Organization | 305R00000X |
Addresses
Primary practice location
485 S Independence Blvd Ste 115
Virginia Beach, VA 23452-1129
Mailing address
1305 Conoga St
Norfolk, VA 23523-1993
Phone (757) 359-3204
Other names 1
- Destined Beginnings LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Norfolk, VA
- NPI 1710723127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731542400000",
"number": "1811711856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 CONOGA ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235231993",
"telephone_number": "757-359-3204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 S INDEPENDENCE BLVD STE 115",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521129",
"telephone_number": "757-581-1549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESTINED BEGINNINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A",
"authorized_official_last_name": "GRIFFIN",
"authorized_official_first_name": "REGINIQUE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "757-359-3204",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Destined Beginnings LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.